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

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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 24 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 NameBlake Richard Beazer
GenderMale
SpecialityFamily Practice
Experience24 Years
Location2356 N 400 E, Tooele, Utah
Accepts Medicare AssignmentsYes. 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.
IdentifierTypeStateIssuer
1073510012NPI-NPPES
D4916MedicaidUT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 5248080-1205 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mountain West Medical CenterTooele, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Blake R Beazer Md Inc18503236192

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 NameMountain West Family Practice Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770581605
PECOS PAC ID: 6406813070
Enrollment ID: O20041215000392
Entity NameBlake R Beazer Md Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184807992
PECOS PAC ID: 1850323619
Enrollment ID: O20050901000448
Entity NameSalson Clinics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083015275
PECOS PAC ID: 8729303276
Enrollment ID: O20150204002338

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 AddressPractice 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
Russell Steven Anderson, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 777 N Main St, Tooele, UT 84074
Phone: 435-843-2364    Fax: 435-228-0062

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.