Mir-mustafa Mir-kasimov, MD - Medicare Pulmonary Disease in Tooele, UT

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Mir-mustafa Mir-kasimov, MD is a medicare enrolled "Internal Medicine" physician in Tooele, Utah. He graduated from medical school in 1996 and has 29 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice University Of Utah Adult Services, University Of Utah Acuity Care Services and his current practice location is 2055 N Main St, Tooele, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 463-7415.

Mir-mustafa Mir-kasimov is licensed to practice in Utah (license number 61209461205) 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 1841401155.

Contact Information

Mir-mustafa Mir-kasimov, MD
2055 N Main St,
Tooele, UT 84074-9819
(801) 463-7415
Not Available

Map and Direction




Physician's Profile

Full NameMir-mustafa Mir-kasimov
GenderMale
SpecialityPulmonary Disease
Experience29 Years
Location2055 N Main St, 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:
  • Mir-mustafa Mir-kasimov graduated from medical school in 1996
  NPI Data:
  • NPI Number: 1841401155
  • Provider Enumeration Date: 05/25/2007
  • Last Update Date: 11/03/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7911098892
  • Enrollment ID: I20070807000310

Medical Identifiers

Medical identifiers for Mir-mustafa Mir-kasimov such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841401155NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist 6120946-1205 (Utah)Secondary
207R00000XInternal Medicine 61209461205 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Of Utah Hospitals And ClinicsSalt lake city, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Of Utah Adult Services09415252731593
University Of Utah Acuity Care Services4789908534116

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. Mir-mustafa Mir-kasimov allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Utah Acuity Care Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407250541
PECOS PAC ID: 4789908534
Enrollment ID: O20150127000392
Entity NameUniversity Of Utah Adult Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114321981
PECOS PAC ID: 0941525273
Enrollment ID: O20150209001683

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. Mir-mustafa Mir-kasimov 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
Mir-mustafa Mir-kasimov, MD
370 E South Temple Ste 260,
Salt Lake City, UT 84111-1290

Ph: (801) 463-7415		Mir-mustafa Mir-kasimov, MD
2055 N Main St,
Tooele, UT 84074-9819

Ph: (801) 463-7415

Reviews and Comments


Internal Medicine Doctors in Tooele, UT

Jeffrey Thomas Reisert, DO
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1929 N Aaron Dr, Tooele, UT 84074
Phone: 435-238-4318    Fax: 435-237-0107
Landon Budd Low,
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 280 N Main St, Tooele, UT 84074
Phone: 435-882-8610    

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).

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