Dr Payam Tristani-firouzi, MD in Provo, UT

Dr Payam Tristani-firouzi, MD is a medicare enrolled "Dermatology" physician in Provo, Utah. She went to University Of Minnesota Medical School and graduated in 1996 and has 28 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Central Utah Clinic Pc, Dermatology Division University Of Utah Medical Center and her current practice location is 1055 N 500 W Ste 111, Provo, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 374-8999.

Dr Payam Tristani-firouzi is licensed to practice in Utah (license number 3496681205) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1407943921.

Contact Information

	Dr Payam Tristani-firouzi, MD
	1055 N 500 W Ste 111, Provo, UT 84604-3305
	(801) 374-8999
	(801) 429-8063

Map and Direction

Physician's Profile

Full Name	Dr Payam Tristani-firouzi
Gender	Female
Speciality	Dermatology
Experience	28 Years
Location	1055 N 500 W Ste 111, Provo, Utah
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Payam Tristani-firouzi attended and graduated from University Of Minnesota Medical School in 1996

NPI Data:

NPI Number: 1407943921
Provider Enumeration Date: 10/06/2006
Last Update Date: 12/20/2021

Medicare PECOS Information:

PECOS PAC ID: 6406841923
Enrollment ID: I20040415000597

Medical Identifiers

Medical identifiers for Dr Payam Tristani-firouzi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407943921	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ND0101X	Dermatology - Mohs-micrographic Surgery	3496681205 (Utah)	Secondary
207NS0135X	Dermatology - Procedural Dermatology	3496681205 (Utah)	Secondary
207N00000X	Dermatology	3496681205 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of Utah Hospitals And Clinics	Salt lake city, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Central Utah Clinic Pc	7517868508	391
Dermatology Division University Of Utah Medical Center	9638073497	61

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 Payam Tristani-firouzi allows following entities to bill medicare on her behalf.

Entity Name	Dermatology Division University Of Utah Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922096114 PECOS PAC ID: 9638073497 Enrollment ID: O20031122000107

Entity Name	Central Utah Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093764805 PECOS PAC ID: 7517868508 Enrollment ID: O20040113000805

Entity Name	U-u Pediatric Dermatology
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235339193 PECOS PAC ID: 8729049002 Enrollment ID: O20041020000616

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 Payam Tristani-firouzi 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 Payam Tristani-firouzi, MD 1055 N 500 W Attn: Credentialing, Provo, UT 84604-3305 Ph: (801) 354-8225	Dr Payam Tristani-firouzi, MD 1055 N 500 W Ste 111, Provo, UT 84604-3305 Ph: (801) 374-8999

Reviews and Comments

Dermatology Doctors in Provo, UT

Dr. Richard L Stone, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1275 N University Ave Ste 23, Provo, UT 84604 Phone: 801-377-4745 Fax: 801-373-5762
Garrett C Lowe, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3200 N Canyon Rd Ste D, Provo, UT 84604 Phone: 801-373-3300 Fax: 801-354-7900
Mr. Gregory J Wing, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W Ste 111, Provo, UT 84604 Phone: 801-354-8225 Fax: 801-418-0941
Margaret Hammond, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 395 W Cougar Blvd Ste 604, Provo, UT 84604 Phone: 801-357-0613
Brian R Bradshaw, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W, Suite 111, Provo, UT 84604 Phone: 801-374-8999 Fax: 801-429-8063
Dr. Richard W Parkinson, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5314 N 250 W, Suite 220, Provo, UT 84604 Phone: 801-225-8484 Fax: 801-225-6170

Dr Payam Tristani-firouzi, MD - Medicare Dermatology in Provo, UT