| Mazen Sires, MD | |
|
1034 N 500 W, Provo, UT 84604-3380 | |
| (801) 357-8310 | |
| Not Available |
| Full Name | Mazen Sires |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 29 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154370765 | NPI | - | NPPES |
| P00317619 | Other | UT | PALMETTO |
| 000059004 | Other | UT | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 60496111205 (Utah) | Secondary |
| 208M00000X | Hospitalist | 6049611-1205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Intermountain Health Utah Valley Hospital | Provo, UT | Hospital |
| Castleview Hospital | Price, UT | Hospital |
| Intermountain Health Sevier Valley Hospital | Richfield, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ihc Health Services Inc | 1850209420 | 3948 |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
| Mailing Address | Practice Location Address |
|---|---|
| Mazen Sires, MD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: Not Available | Mazen Sires, MD 1034 N 500 W, Provo, UT 84604-3380 Ph: (801) 357-8310 |
Levi Daniel Franz, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-8310 |
Nicholas Holdaway Bishop, MD, PHD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7291 Fax: 801-357-3854 |
Jacob Mark James, DO Hospitalist Medicare: May Accept Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7291 |