Mustafa Kaisi, in Providence, RI - Medicare Internal Medicine

Mustafa Kaisi, is a medicare enrolled "Internal Medicine" physician in Providence, Rhode Island. He graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice San Diego Critical Care Medical Group Inc, Emergency And Acute Care Medical Corporation and his current practice location is 164 Summit Ave, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 793-2104.

Mustafa Kaisi is licensed to practice in Rhode Island (license number MD15464) 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 1457742934.

Contact Information

	Mustafa Kaisi,
	164 Summit Ave, Providence, RI 02906-2853
	(401) 793-2104
	(401) 793-4047

Map and Direction

Physician's Profile

Full Name	Mustafa Kaisi
Gender	Male
Speciality	Internal Medicine
Experience	21 Years
Location	164 Summit Ave, Providence, Rhode Island
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 Kaisi graduated from medical school in 2003

NPI Data:

NPI Number: 1457742934
Provider Enumeration Date: 02/05/2015
Last Update Date: 06/22/2016

Medicare PECOS Information:

PECOS PAC ID: 3678860533
Enrollment ID: I20210219001888

Medical Identifiers

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

Identifier	Type	State	Issuer
1457742934	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MD15464 (Rhode Island)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sharp Coronado Hospital And Hlthcr Ctr	Coronado, CA	Hospital
Villa Coronado D/p Snf	Coronado, CA	Nursing home

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
San Diego Critical Care Medical Group Inc	7911083886	37
Emergency And Acute Care Medical Corporation	9537108279	394

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 Kaisi allows following entities to bill medicare on his behalf.

Entity Name	Emergency And Acute Care Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437103942 PECOS PAC ID: 9537108279 Enrollment ID: O20050502000734

Entity Name	San Diego Critical Care Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609915990 PECOS PAC ID: 7911083886 Enrollment ID: O20090108000551

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 Kaisi 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 Kaisi, 164 Summit Ave, Providence, RI 02906-2853 Ph: (401) 793-2104	Mustafa Kaisi, 164 Summit Ave, Providence, RI 02906-2853 Ph: (401) 793-2104

Reviews and Comments

Internal Medicine Doctors in Providence, RI

Christopher Donald Palmer, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Dudley St, Providence, RI 02905 Phone: 401-274-1122 Fax: 401-453-7597
Martha Catherine Trimbur, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 245 Chapman St Ste 300, Providence, RI 02905 Phone: 401-444-4741 Fax: 401-444-4445
Karl Herman, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, Fain Bldg., Providence, RI 02906 Phone: 401-793-4489 Fax: 401-793-4047
Muhammad Baig, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, Fain Bldg, Providence, RI 02906 Phone: 401-793-4489 Fax: 401-793-4047
Gary M Katzman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 208 Collyer Street, Suite 100, Providence, RI 02904 Phone: 401-793-7191 Fax: 401-793-7200
Thomas Fairweather Crain, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, Providence, RI 02906 Phone: 401-793-4630
James Atkinson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, Providence, RI 02906 Phone: 401-793-4500

Mustafa Kaisi, - Medicare Internal Medicine in Providence, RI