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

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Mustafa Faisal Mustafa Douglas, MD is a medicare enrolled "Hospitalist" physician in Sierra Vista, Arizona. 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 does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. 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 NameMustafa Faisal Mustafa Douglas
GenderMale
SpecialityHospitalist
Location5700 E Highway 90, Sierra Vista, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  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.
IdentifierTypeStateIssuer
1164032447NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine R78390 (Arizona)Secondary
208M00000XHospitalist A185288 (California)Primary

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 NameProvidence Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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

Reviews and Comments


Hospitalist Doctors in Sierra Vista, AZ


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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.