Kristen Haas Black, DO - Medicare Obstetrics & Gynecology in Riverton, UT

Kristen Haas Black, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Riverton, Utah. Her current practice location is 3723 W 12600 S Ste 360, Riverton, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 285-4700.

Kristen Haas Black is licensed to practice in Utah (license number 9732284-1204) 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 1982965034.

Contact Information

Kristen Haas Black, DO
3723 W 12600 S Ste 360,
Riverton, UT 84065-7296
(801) 285-4700
Not Available



Physician's Profile

Full NameKristen Haas Black
GenderFemale
SpecialityObstetrics & Gynecology
Location3723 W 12600 S Ste 360, Riverton, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1982965034
  • Provider Enumeration Date: 06/05/2012
  • Last Update Date: 06/24/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 3476842840
  • Enrollment ID: I20160525001814

Medical Identifiers

Medical identifiers for Kristen Haas Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982965034NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 5101019941 (Michigan)Secondary
207V00000XObstetrics & Gynecology 9732284-1204 (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. Kristen Haas Black allows following entities to bill medicare on her behalf.
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. Kristen Haas Black 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
Kristen Haas Black, DO
Po Box 27128,
Salt Lake City, UT 84127-0128

Ph: (801) 285-4700
Kristen Haas Black, DO
3723 W 12600 S Ste 360,
Riverton, UT 84065-7296

Ph: (801) 285-4700

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Obstetrics & Gynecology Doctors in Riverton, UT

Jane C Bowman, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 3723 W 12600 S, Suite 360, Riverton, UT 84065
Phone: 801-285-4700    Fax: 801-285-4601
Christopher V Hutchison, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 12391 S 4000 W, Riverton, UT 84096
Phone: 801-302-1750    Fax: 801-965-1715
Dr. William Benjamin Warner, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 12391 S 4000 W, Riverton, UT 84096
Phone: 801-302-1700    
Edwin Ray England, DO
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 12391 S 4000 W, Riverton, UT 84096
Phone: 801-302-1700    
Tricia Anne Twelves, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 12391 S 4000 W, Riverton, UT 84096
Phone: 801-302-1750    Fax: 801-302-1715
Dr. Janet Benavidez Eddy, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 3723 W 12600 S Ste 350, Riverton, UT 84065
Phone: 801-285-4800    
Christopher Jesse Jolles, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 12391 S 4000 W, Ste 208, Riverton, UT 84096
Phone: 801-302-5360    Fax: 801-302-7898

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