Aging Clinic Of Southern Utah Pllc - Medicare Mental Health Clinic in Cedar City, UT

Aging Clinic Of Southern Utah Pllc is a medicare enrolled mental health clinic (Psychologist) in Cedar City, Utah. The current practice location for Aging Clinic Of Southern Utah Pllc is 94 S 300 E, Cedar City, Utah. For appointments, you can reach them via phone at (435) 277-0285. The mailing address for Aging Clinic Of Southern Utah Pllc is 94 S 300 E, Cedar City, Utah and phone number is (435) 277-0285.

Aging Clinic Of Southern Utah Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1043091960. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (435) 277-0285.

Contact Information

Aging Clinic Of Southern Utah Pllc
94 S 300 E
Cedar City
UT 84720-3318
(435) 277-0285
Not Available

Mental Health Clinic Profile

Full NameAging Clinic Of Southern Utah Pllc
SpecialityPsychologist
Location94 S 300 E, Cedar City, Utah
Authorized Official Name and PositionKirsten Leigh Graham (OWNER/PROVIDER)
Authorized Official Contact4352770285
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Aging Clinic Of Southern Utah Pllc
94 S 300 E
Cedar City
UT 84720-3318

Ph: (435) 277-0285
Aging Clinic Of Southern Utah Pllc
94 S 300 E
Cedar City
UT 84720-3318

Ph: (435) 277-0285

NPI Details:

NPI Number1043091960
Provider Enumeration Date10/06/2023
Last Update Date02/20/2024
Certification Date02/20/2024

Medicare PECOS Information:

Medicare PECOS PAC ID2365886132
Medicare Enrollment IDO20240220003004

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Medical Identifiers

Medical identifiers for Aging Clinic Of Southern Utah Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043091960NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Aging Clinic Of Southern Utah Pllc acts as a billing entity for following providers:
Provider NameKirsten Leigh Graham
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1376165530
PECOS PAC ID: 6002250875
Enrollment ID: I20240220002980

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