Mark J Cacciamani, MD in Salt Lake City, UT

Mark J Cacciamani, MD is a medicare enrolled "Family Medicine" physician in Salt Lake City, Utah. He went to Georgetown University School Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Ma Bo Inc, Ma Bo Inc and his current practice location is 466 E 500 S Ste 200, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 485-5055.

Mark J Cacciamani is licensed to practice in Utah (license number 49426771205) 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 1063500163.

Contact Information

	Mark J Cacciamani, MD
	466 E 500 S Ste 200, Salt Lake City, UT 84111-3350
	(801) 485-5055
	(801) 467-3296

Map and Direction

Physician's Profile

Full Name	Mark J Cacciamani
Gender	Male
Speciality	Family Practice
Experience	25 Years
Location	466 E 500 S Ste 200, Salt Lake City, 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:

Mark J Cacciamani attended and graduated from Georgetown University School Of Medicine in 1999

NPI Data:

NPI Number: 1063500163
Provider Enumeration Date: 10/11/2006
Last Update Date: 08/19/2024

Medicare PECOS Information:

PECOS PAC ID: 9537057773
Enrollment ID: I20040309000328

Medical Identifiers

Medical identifiers for Mark J Cacciamani such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063500163	NPI	-	NPPES
D4498	Medicaid	UT
000057838	Other	UT	PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	49426771205 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Legacy Healthcare, Inc	Layton, UT	Home health agency
Ivy Lane Pediatrics	Ogden, UT	Home health agency
Utah Valley Hospital	Provo, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ma Bo Inc	1254399652	5
Ma Bo Inc	1254399652	5

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. Mark J Cacciamani allows following entities to bill medicare on his behalf.

Entity Name	Ma Bo Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740461219 PECOS PAC ID: 1254399652 Enrollment ID: O20050103000257

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. Mark J Cacciamani 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
Mark J Cacciamani, MD 522 E 100 S, Salt Lake City, UT 84102-1905 Ph: (801) 485-5055	Mark J Cacciamani, MD 466 E 500 S Ste 200, Salt Lake City, UT 84111-3350 Ph: (801) 485-5055

Reviews and Comments

Family Medicine Doctors in Salt Lake City, UT

Dr. Roy Lewis James, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 675 E 2100 S, Suite 390, Salt Lake City, UT 84106 Phone: 800-366-1884 Fax: 801-487-8197
Cynthia M Mathewson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1525 W 2100 S, Salt Lake City, UT 84119 Phone: 801-887-2400
Peter Thompson Weir, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 555 Foothill Dr, Salt Lake City, UT 84112 Phone: 801-585-5382
Lisa J Hill, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 6556 S Big Cottonwood Canyon Rd Ste 500a, Salt Lake City, UT 84121 Phone: 385-246-1117 Fax: 385-246-1117
Amy Noel De La Garza, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 807 E South Temple Ste 101, Salt Lake City, UT 84102 Phone: 801-369-8989 Fax: 801-704-9741
Dr. Laura M. Yeater, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 375 S Chipeta Way Ste A, Salt Lake City, UT 84108 Phone: 801-587-3411 Fax: 801-581-2771
Ms. Shannon B. Mckim, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 375 S Chipeta Way Rm 201, Salt Lake City, UT 84108 Phone: 801-581-2121

Mark J Cacciamani, MD - Medicare Family Practice in Salt Lake City, UT