Amira Dervisevic, in Salt Lake City, UT - Medicare Nurse Practitioner

Amira Dervisevic, is a medicare enrolled "Registered Nurse - Psychiatric/mental Health" in Salt Lake City, Utah. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice University Of Utah Behavioral Health Services and her current practice location is 501 S Chipeta Way, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 587-3270.

Amira Dervisevic is licensed to practice in Utah (license number 7800211-3102) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1881360295.

Contact Information

	Amira Dervisevic,
	501 S Chipeta Way, Salt Lake City, UT 84108-1222
	(801) 587-3270
	Not Available

Map and Direction

Provider's Profile

Full Name	Amira Dervisevic
Gender	Female
Speciality	Nurse Practitioner
Experience	3 Years
Location	501 S Chipeta Way, Salt Lake City, Utah
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Amira Dervisevic graduated from nursing school in 2021

NPI Data:

NPI Number: 1881360295
Provider Enumeration Date: 08/17/2021
Last Update Date: 12/20/2021

Medicare PECOS Information:

PECOS PAC ID: 8628475688
Enrollment ID: I20210920000451

Medical Identifiers

Medical identifiers for Amira Dervisevic such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881360295	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0808X	Registered Nurse - Psychiatric/mental Health	7800211-3102 (Utah)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Utah Behavioral Health Services	9537483607	152

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. Amira Dervisevic allows following entities to bill medicare on her behalf.

Entity Name	University Of Utah Behavioral Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740688613 PECOS PAC ID: 9537483607 Enrollment ID: O20150120001118

Entity Name	University Of Utah Pediatric Behavioral Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649631599 PECOS PAC ID: 3870886898 Enrollment ID: O20160727002309

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. Amira Dervisevic 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
Amira Dervisevic, 6239 W Dinsmore Way, West Jordan, UT 84081-4129 Ph: (801) 815-5125	Amira Dervisevic, 501 S Chipeta Way, Salt Lake City, UT 84108-1222 Ph: (801) 587-3270

Reviews and Comments

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Amira Dervisevic, - Medicare Nurse Practitioner in Salt Lake City, UT