Blake Richard Beazer, MD in Tooele, UT - Medicare Family Practice

Blake Richard Beazer, MD is a medicare enrolled "Family Medicine" physician in Tooele, Utah. He went to University Of California, San Diego School Of Medicine and graduated in 2000 and has 25 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Blake R Beazer Md Inc and his current practice location is 2356 N 400 E, Ste 201, Tooele, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 882-2350.

Blake Richard Beazer is licensed to practice in Utah (license number 5248080-1205) 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 1073510012.

Contact Information

	Blake Richard Beazer, MD
	2356 N 400 E, Ste 201, Tooele, UT 84074
	(435) 882-2350
	(435) 882-2039

Map and Direction

Physician's Profile

Full Name	Blake Richard Beazer
Gender	Male
Speciality	Family Practice
Experience	25 Years
Location	2356 N 400 E, Tooele, 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:

Blake Richard Beazer attended and graduated from University Of California, San Diego School Of Medicine in 2000

NPI Data:

NPI Number: 1073510012
Provider Enumeration Date: 07/06/2005
Last Update Date: 03/21/2014

Medicare PECOS Information:

PECOS PAC ID: 5395702963
Enrollment ID: I20041217000245

Medical Identifiers

Medical identifiers for Blake Richard Beazer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073510012	NPI	-	NPPES
D4916	Medicaid	UT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	5248080-1205 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mountain West Medical Center	Tooele, UT	Hospital
University Of Utah Hospitals And Clinics	Salt lake city, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Blake R Beazer Md Inc	1850323619	2

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. Blake Richard Beazer allows following entities to bill medicare on his behalf.

Entity Name	Mountain West Family Practice Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770581605 PECOS PAC ID: 6406813070 Enrollment ID: O20041215000392

Entity Name	Blake R Beazer Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184807992 PECOS PAC ID: 1850323619 Enrollment ID: O20050901000448

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. Blake Richard Beazer 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
Blake Richard Beazer, MD 2356 N 400 E, Ste 201, Tooele, UT 84074 Ph: (435) 882-2350	Blake Richard Beazer, MD 2356 N 400 E, Ste 201, Tooele, UT 84074 Ph: (435) 882-2350

Reviews and Comments

Family Medicine Doctors in Tooele, UT

Dr. Carolyn Forbes, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2376 N 400 E, Ste 102, Tooele, UT 84074 Phone: 435-843-1225 Fax: 435-843-1228
Dr. An Tuong Dinh, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 210 Millpond, Tooele, UT 84074 Phone: 435-843-3647 Fax: 435-775-9272
Dr. Patrick Nelson Green, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 134 W 1180 N, Suite # 5, Tooele, UT 84074 Phone: 435-248-0333 Fax: 435-248-0334
Sergio Abarca, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2356 N 400 E, Ste 201, Tooele, UT 84074 Phone: 435-882-2350 Fax: 435-882-2039
Dr. Jay Myron Spector, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1929 Aaron Dr, Suite I, Tooele, UT 84074 Phone: 435-833-0229 Fax: 435-833-0231
Nicole Patrone, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 58 S Main St, Tooele, UT 84074 Phone: 435-233-7900

Blake Richard Beazer, MD - Medicare Family Practice in Tooele, UT