Mrs Kelly Jean Brinkerhoff, NURSE PRACTITIONER in Ogden, UT

Mrs Kelly Jean Brinkerhoff, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Ogden, Utah. Her current practice location is 2408 Van Buren Ave, Ogden, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 778-6277.

Mrs Kelly Jean Brinkerhoff is licensed to practice in Utah (license number 5858437-4405) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1700396504.

Contact Information

	Mrs Kelly Jean Brinkerhoff, NURSE PRACTITIONER
	2408 Van Buren Ave, Ogden, UT 84401-2712
	(801) 778-6277
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Kelly Jean Brinkerhoff
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2408 Van Buren Ave, Ogden, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700396504
Provider Enumeration Date: 10/05/2017
Last Update Date: 09/26/2021

Medicare PECOS Information:

PECOS PAC ID: 2567724222
Enrollment ID: I20180319000791

Medical Identifiers

Medical identifiers for Mrs Kelly Jean Brinkerhoff such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700396504	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	5858437-4405 (Utah)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Kelly Jean Brinkerhoff allows following entities to bill medicare on her behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kelly Jean Brinkerhoff is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Kelly Jean Brinkerhoff, NURSE PRACTITIONER 2294 S 4075 W, West Haven, UT 84401-7128 Ph: (801) 628-2532	Mrs Kelly Jean Brinkerhoff, NURSE PRACTITIONER 2408 Van Buren Ave, Ogden, UT 84401-2712 Ph: (801) 778-6277

Reviews and Comments

Nurse Practitioner Nurses in Ogden, UT

Trisha B Sears, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-866-3714
Allyx Bowthorpe, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 434 E 5350 S Ste D, Ogden, UT 84405 Phone: 801-827-9100 Fax: 801-827-9110
Justin Robert Haslam, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5740 Crestwood Dr, Ogden, UT 84405 Phone: 801-479-7771 Fax: 801-479-7795
Carrie Hanni, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4403 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-7900 Fax: 801-387-7910
Lacey Kay Gordon, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1355 W 3400 S, Ogden, UT 84401 Phone: 801-387-6150 Fax: 801-399-2572
Maline Johanna Cropper, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1068 Harrop St, Ogden, UT 84404 Phone: 435-760-5797
Mrs. Victoria Dawn Olvera, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-2702

Mrs Kelly Jean Brinkerhoff, NURSE PRACTITIONER - Medicare Nurse Practitioner in Ogden, UT