Mustafa Faisal Mustafa Douglas, MD in Sierra Vista, AZ

Mustafa Faisal Mustafa Douglas, MD is a medicare enrolled "Hospitalist" physician in Sierra Vista, Arizona. He graduated from medical school in 2016 and has 10 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Providence Medical Foundation and his current practice location is 5700 E Highway 90, Sierra Vista, Arizona. You can reach out to his office (for appointments etc.) via phone at (520) 263-3190.

Mustafa Faisal Mustafa Douglas is licensed to practice in California (license number A185288) 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 1164032447.

Contact Information

	Mustafa Faisal Mustafa Douglas, MD
	5700 E Highway 90, Sierra Vista, AZ 85635-9110
	(520) 263-3190
	Not Available

Map and Direction

Physician's Profile

Full Name	Mustafa Faisal Mustafa Douglas
Gender	Male
Speciality	Hospitalist
Experience	10 Years
Location	5700 E Highway 90, Sierra Vista, Arizona
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:

Mustafa Faisal Mustafa Douglas graduated from medical school in 2016

NPI Data:

NPI Number: 1164032447
Provider Enumeration Date: 08/03/2020
Last Update Date: 08/03/2023

Medicare PECOS Information:

PECOS PAC ID: 0143682658
Enrollment ID: I20230816000353

Medical Identifiers

Medical identifiers for Mustafa Faisal Mustafa Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164032447	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	R78390 (Arizona)	Secondary
208M00000X	Hospitalist	A185288 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Joseph Hospital	Eureka, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Medical Foundation	8921993205	1329

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. Mustafa Faisal Mustafa Douglas allows following entities to bill medicare on his behalf.

Entity Name	Providence Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346

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. Mustafa Faisal Mustafa Douglas 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
Mustafa Faisal Mustafa Douglas, MD 289 S Highway 92 Apt 1201, Sierra Vista, AZ 85635-3679 Ph: (312) 978-0764	Mustafa Faisal Mustafa Douglas, MD 5700 E Highway 90, Sierra Vista, AZ 85635-9110 Ph: (520) 263-3190

Mustafa Faisal Mustafa Douglas, MD - Medicare Hospitalist in Sierra Vista, AZ