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

Mir-mustafa Mir-kasimov, MD is a medicare enrolled "Internal Medicine" physician in Tooele, Utah. He graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice University Of Utah Adult 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 Name	Mir-mustafa Mir-kasimov
Gender	Male
Speciality	Pulmonary Disease
Experience	28 Years
Location	2055 N Main St, Tooele, 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:

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.

Identifier	Type	State	Issuer
1841401155	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	6120946-1205 (Utah)	Secondary
207R00000X	Internal Medicine	61209461205 (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
University Of Utah Adult Services	0941525273	1459

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 Name	University Of Utah Acuity Care Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407250541 PECOS PAC ID: 4789908534 Enrollment ID: O20150127000392

Entity Name	University Of Utah Adult Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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 Address	Practice 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

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