Dr George Daniel Disesa, MD in Provo, UT - Medicare Internal Medicine

Dr George Daniel Disesa, MD is a medicare enrolled "Internal Medicine" physician in Provo, Utah. He went to Temple University School Of Medicine and graduated in 2018 and has 6 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Main Line Healthcare, Intermountain Healthcare Services, Inc and his current practice location is 1034 N 500 W, Provo, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 357-8310.

Dr George Daniel Disesa is licensed to practice in Utah (license number 12821441-1205) 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 1255835393.

Contact Information

	Dr George Daniel Disesa, MD
	1034 N 500 W, Provo, UT 84604-3380
	(801) 357-8310
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr George Daniel Disesa
Gender	Male
Speciality	Internal Medicine
Experience	6 Years
Location	1034 N 500 W, Provo, 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:

Dr George Daniel Disesa attended and graduated from Temple University School Of Medicine in 2018

NPI Data:

NPI Number: 1255835393
Provider Enumeration Date: 03/22/2018
Last Update Date: 09/24/2023

Medicare PECOS Information:

PECOS PAC ID: 6103213848
Enrollment ID: I20220427000599

Medical Identifiers

Medical identifiers for Dr George Daniel Disesa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255835393	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	12821441-1205 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Riddle Memorial Hospital	Media, PA	Hospital
Paoli Hospital	Paoli, PA	Hospital
Bryn Mawr Hospital	Bryn mawr, PA	Hospital
Utah Valley Hospital	Provo, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Main Line Healthcare	1951215201	894
Intermountain Healthcare Services, Inc	1850209420	3063

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. Dr George Daniel Disesa allows following entities to bill medicare on his behalf.

Entity Name	Main Line Healthcare
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922077643 PECOS PAC ID: 1951215201 Enrollment ID: O20040308000373

Entity Name	Abington Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952330805 PECOS PAC ID: 3274437736 Enrollment ID: O20040406000756

Entity Name	Abington Memorial Hospital
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1770508319 PECOS PAC ID: 3274437736 Enrollment ID: O20051017000570

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. Dr George Daniel Disesa 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
Dr George Daniel Disesa, MD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (801) 357-8310	Dr George Daniel Disesa, MD 1034 N 500 W, Provo, UT 84604-3380 Ph: (801) 357-8310

Reviews and Comments

Internal Medicine Doctors in Provo, UT

Dr. Christopher Gordon, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 745 N 500 W Ste 200, Provo, UT 84601 Phone: 801-375-9292 Fax: 801-375-9290
Daniel N. Bennett, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W, Ste 101, Building C, Provo, UT 84604 Phone: 801-373-4366
Dr. Christopher Ryan Lew, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-960-7558
Albert Rivero, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1134 N 500 W Ste 101, Provo, UT 84604 Phone: 801-357-8310
Dr. Wenshu Yu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3650 N University Ave Ste 150, Provo, UT 84604 Phone: 801-818-1940 Fax: 801-818-1945
William T. Stephenson Ii, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 395 W Bulldog Blvd Ste 103, Provo, UT 84604 Phone: 801-357-8200 Fax: 801-357-8201
Gregory E Craner, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1055 N 500 W, Suite 100 Bldg B, Provo, UT 84604 Phone: 801-374-1268 Fax: 801-429-8041

Dr George Daniel Disesa, MD - Medicare Internal Medicine in Provo, UT