Karl Koivisto, MD - Medicare Emergency Medicine in Salt Lake City, UT

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Karl Koivisto, MD is a medicare enrolled "Emergency Medicine - Sports Medicine" physician in Salt Lake City, Utah. He went to University Of Minnesota Medical School and graduated in 2017 and has 7 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Fairview Health Services, Emergency Physicians Professional Association and his current practice location is 85 N Medical Dr, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 581-2121.

Karl Koivisto is licensed to practice in Utah (license number 13846498-1205) 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 1962931451.

Contact Information

Karl Koivisto, MD
85 N Medical Dr,
Salt Lake City, UT 84112-1100
(801) 581-2121
Not Available

Map and Direction




Physician's Profile

Full NameKarl Koivisto
GenderMale
SpecialityEmergency Medicine
Experience7 Years
Location85 N Medical Dr, Salt Lake City, 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:
  • Karl Koivisto attended and graduated from University Of Minnesota Medical School in 2017
  NPI Data:
  • NPI Number: 1962931451
  • Provider Enumeration Date: 06/08/2017
  • Last Update Date: 04/26/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5496023459
  • Enrollment ID: I20200806001118

Medical Identifiers

Medical identifiers for Karl Koivisto such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962931451NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207PS0010XEmergency Medicine - Sports Medicine 13846498-1205 (Utah)Primary
207P00000XEmergency Medicine 67132 (Minnesota)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Fairview Northland Regional HospitalPrinceton, MNHospital
Carris Health - Redwood, LlcRedwood falls, MNHospital
North Memorial HealthRobbinsdale, MNHospital
St Cloud HospitalSaint cloud, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fairview Health Services1951213057539
Emergency Physicians Professional Association9537072657211

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. Karl Koivisto allows following entities to bill medicare on his behalf.
Entity NameCentracare Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043212665
PECOS PAC ID: 2466363395
Enrollment ID: O20031105000293
Entity NameFairview Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013994359
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461
Entity NameEmergency Physicians Professional Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801871934
PECOS PAC ID: 9537072657
Enrollment ID: O20031106000068
Entity NameRange Regional Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669569265
PECOS PAC ID: 8022920024
Enrollment ID: O20031110000095
Entity NameCarris Health - Redwood Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265914048
PECOS PAC ID: 7911259619
Enrollment ID: O20181129001082
Entity NameEssentia Health Moose Lake
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1154959880
PECOS PAC ID: 6608290333
Enrollment ID: O20200728000758

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. Karl Koivisto 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
Karl Koivisto, MD
85 N Medical Dr,
Salt Lake City, UT 84112-1100

Ph: (801) 581-2121		Karl Koivisto, MD
85 N Medical Dr,
Salt Lake City, UT 84112-1100

Ph: (801) 581-2121

Reviews and Comments


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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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