Dr Gustavo Velasquez, MD in West Valley City, UT

Dr Gustavo Velasquez, MD is a medicare enrolled "Family Medicine" physician in West Valley City, Utah. His current practice location is 2965 W 3500 S, West Valley City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 965-3600.

Dr Gustavo Velasquez is licensed to practice in Utah (license number 6646826-1205) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1821211988.

Contact Information

	Dr Gustavo Velasquez, MD
	2965 W 3500 S, West Valley City, UT 84119-3602
	(801) 965-3600
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Gustavo Velasquez
Gender	Male
Speciality	Family Medicine
Location	2965 W 3500 S, West Valley City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821211988
Provider Enumeration Date: 04/10/2007
Last Update Date: 07/20/2023

Medicare PECOS Information:

PECOS PAC ID: 8426136060
Enrollment ID: I20120301000801

Medical Identifiers

Medical identifiers for Dr Gustavo Velasquez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821211988	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MD2006-0292 (New Mexico)	Secondary
207Q00000X	Family Medicine	6646826-1205 (Utah)	Primary

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 Gustavo Velasquez allows following entities to bill medicare on his behalf.

Entity Name	Concord Medical Group Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20050707000531

Entity Name	Leading Edge Emergency Physicians, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003165259 PECOS PAC ID: 2466601588 Enrollment ID: O20121005000189

Entity Name	Century Integrated Partners, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447615711 PECOS PAC ID: 6406151703 Enrollment ID: O20160224002152

Entity Name	Emergency Medicine Services Of Tx, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245938729 PECOS PAC ID: 3375909351 Enrollment ID: O20230517001124

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 Gustavo Velasquez 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 Gustavo Velasquez, MD 7181 S Campus View Dr Ste 200, West Jordan, UT 84084-4312 Ph: (801) 965-3600	Dr Gustavo Velasquez, MD 2965 W 3500 S, West Valley City, UT 84119-3602 Ph: (801) 965-3600

Reviews and Comments

Family Medicine Doctors in West Valley City, UT

Dr. Casey Joseph Henich, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2965 W 3500 S, West Valley City, UT 84119 Phone: 801-965-3600
Ray Morris Iii, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3465 So 4155 W Suite #2, West Valley City, UT 84120 Phone: 801-963-7636 Fax: 801-963-8130
Jennifer J Denbleyker, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3725 W 4100 S, West Valley City, UT 84120 Phone: 801-965-3600 Fax: 801-965-3526
Erin Bathurst Helms, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5373 W Lake Park Blvd, West Valley City, UT 84120 Phone: 801-902-8080
Dr. Charles Wesley Miller, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 4052 West Pioneer Parkway, Suite 109, West Valley City, UT 84120 Phone: 801-912-8230 Fax: 801-840-2208
Dr. Lori E Witter, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3730 W 4700 S, West Valley City, UT 84118 Phone: 801-213-9200
Curtis Gapinski, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2965 W 3500 S, West Valley City, UT 84119 Phone: 801-965-3600

Dr Gustavo Velasquez, MD - Medicare Family Medicine in West Valley City, UT