Kimberly Ann Pettit, MD - Medicare Dermatology in American Fork, UT

Kimberly Ann Pettit, MD is a medicare enrolled "Dermatology" physician in American Fork, Utah. She went to Georgetown University School Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Intermountain Healthcare Services, Inc and her current practice location is 98 N 1100 E, Suite 301, American Fork, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 492-2300.

Kimberly Ann Pettit is licensed to practice in Indiana (license number 01056997A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1093789299.

Contact Information

Kimberly Ann Pettit, MD
98 N 1100 E, Suite 301,
American Fork, UT 84003-2935
(801) 492-2300
Not Available



Physician's Profile

Full NameKimberly Ann Pettit
GenderFemale
SpecialityDermatology
Experience23 Years
Location98 N 1100 E, American Fork, Utah
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kimberly Ann Pettit attended and graduated from Georgetown University School Of Medicine in 2001
  NPI Data:
  • NPI Number: 1093789299
  • Provider Enumeration Date: 02/14/2006
  • Last Update Date: 10/01/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9638362114
  • Enrollment ID: I20101015000860

Medical Identifiers

Medical identifiers for Kimberly Ann Pettit such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093789299NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 01056997A (Indiana)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Intermountain Healthcare Services, Inc18502094203063

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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. Kimberly Ann Pettit allows following entities to bill medicare on her behalf.
Entity NameDermatology Division University Of Utah Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922096114
PECOS PAC ID: 9638073497
Enrollment ID: O20031122000107

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Entity NameIhc Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942325154
PECOS PAC ID: 1850209420
Enrollment ID: O20080610000303

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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. Kimberly Ann Pettit 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 AddressPractice Location Address
Kimberly Ann Pettit, MD
Po Box 27128,
Salt Lake City, UT 84127-0128

Ph: (801) 492-2300
Kimberly Ann Pettit, MD
98 N 1100 E, Suite 301,
American Fork, UT 84003-2935

Ph: (801) 492-2300

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Dermatology Doctors in American Fork, UT

Stewart W West, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 98 N 1100 E, Suite 301, American Fork, UT 84003
Phone: 801-492-2300    
Dr. Brent H. Goodsell, D.O.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 162 S. 1100 E., American Fork, UT 84003
Phone: 801-756-9669    Fax: 801-756-0202
Aaron Jacob Peterson, D.O.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 48 N 1100 E, American Fork, UT 84003
Phone: 801-642-2950    Fax: 801-642-2951

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