Karl Koivisto, MD in Salt Lake City, UT - Medicare Emergency Medicine

Karl Koivisto, MD is a medicare enrolled "Emergency Medicine - Sports Medicine" physician in Salt Lake City, Utah. He went to University Of Minnesota Medical School and graduated in 2017 and has 7 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Fairview Health Services, Emergency Physicians Professional Association and his current practice location is 85 N Medical Dr, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 581-2121.

Karl Koivisto is licensed to practice in Utah (license number 13846498-1205) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1962931451.

Contact Information

	Karl Koivisto, MD
	85 N Medical Dr, Salt Lake City, UT 84112-1100
	(801) 581-2121
	Not Available

Map and Direction

Physician's Profile

Full Name	Karl Koivisto
Gender	Male
Speciality	Emergency Medicine
Experience	7 Years
Location	85 N Medical Dr, Salt Lake City, Utah
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Karl Koivisto attended and graduated from University Of Minnesota Medical School in 2017

NPI Data:

NPI Number: 1962931451
Provider Enumeration Date: 06/08/2017
Last Update Date: 04/26/2024

Medicare PECOS Information:

PECOS PAC ID: 5496023459
Enrollment ID: I20200806001118

Medical Identifiers

Medical identifiers for Karl Koivisto such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962931451	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207PS0010X	Emergency Medicine - Sports Medicine	13846498-1205 (Utah)	Primary
207P00000X	Emergency Medicine	67132 (Minnesota)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Fairview Northland Regional Hospital	Princeton, MN	Hospital
Carris Health - Redwood, Llc	Redwood falls, MN	Hospital
North Memorial Health	Robbinsdale, MN	Hospital
St Cloud Hospital	Saint cloud, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Fairview Health Services	1951213057	559
Emergency Physicians Professional Association	9537072657	205

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. Karl Koivisto allows following entities to bill medicare on his behalf.

Entity Name	Centracare Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293

Entity Name	Fairview Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461

Entity Name	Emergency Physicians Professional Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801871934 PECOS PAC ID: 9537072657 Enrollment ID: O20031106000068

Entity Name	Range Regional Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669569265 PECOS PAC ID: 8022920024 Enrollment ID: O20031110000095

Entity Name	Carris Health - Redwood Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265914048 PECOS PAC ID: 7911259619 Enrollment ID: O20181129001082

Entity Name	Essentia Health Moose Lake
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1154959880 PECOS PAC ID: 6608290333 Enrollment ID: O20200728000758

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. Karl Koivisto 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
Karl Koivisto, MD 85 N Medical Dr, Salt Lake City, UT 84112-1100 Ph: (801) 581-2121	Karl Koivisto, MD 85 N Medical Dr, Salt Lake City, UT 84112-1100 Ph: (801) 581-2121

Reviews and Comments

Emergency Medicine Doctors in Salt Lake City, UT

Dr. Benjamin J. Verseman, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 30 N 1900 E # 1c026, Salt Lake City, UT 84132 Phone: 801-581-2417
Dr. Carrie Anderson, DVM Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1021 E 3300 S, Salt Lake City, UT 84106 Phone: 801-942-3951 Fax: 801-942-3951
Lindsey L. Fell, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: Helix: 30 N Mario Capecchi Dr Rm 2s200, Salt Lake City, UT 84112 Phone: 801-581-2121
Jared C Dunn, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5848 S Fashion Blvd Ste 110, Salt Lake City, UT 84107 Phone: 801-314-4020 Fax: 801-314-4015
Jeffrey Druck, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2121
Kristen Jahn, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1050 E South Temple, Salt Lake City, UT 84102 Phone: 801-350-4111
Marian Serra, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1050 E South Temple, Salt Lake City, UT 84102 Phone: 801-350-4111

Karl Koivisto, MD - Medicare Emergency Medicine in Salt Lake City, UT