Mujtaba Ahmed, in Melrose Park, IL - Medicare Counselor Provider

Mujtaba Ahmed, is a medicare enrolled "Counselor - Mental Health" provider in Melrose Park, Illinois. His current practice location is 1414 Main St, Melrose Park, Illinois. You can reach out to his office (for appointments etc.) via phone at (708) 681-0073.

Mujtaba Ahmed is licensed to practice in * (Not Available) (license number ) 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 1053712687.

Contact Information

	Mujtaba Ahmed,
	1414 Main St, Melrose Park, IL 60160-3902
	(708) 681-0073
	(708) 681-4738

Map and Direction

Healthcare Provider's Profile

Full Name	Mujtaba Ahmed
Gender	Male
Speciality	Counselor - Mental Health
Location	1414 Main St, Melrose Park, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053712687
Provider Enumeration Date: 09/15/2014
Last Update Date: 09/15/2014

Medicare PECOS Information:

PECOS PAC ID: 1759775539
Enrollment ID: I20220221000601

Medical Identifiers

Medical identifiers for Mujtaba Ahmed such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053712687	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	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. Mujtaba Ahmed allows following entities to bill medicare on his behalf.

Entity Name	Spoken Balance, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821557307 PECOS PAC ID: 4082044524 Enrollment ID: O20200423001395

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. Mujtaba Ahmed 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
Mujtaba Ahmed, 1414 Main St, Melrose Park, IL 60160-3902 Ph: (708) 681-0073	Mujtaba Ahmed, 1414 Main St, Melrose Park, IL 60160-3902 Ph: (708) 681-0073

Reviews and Comments

Counselor in Melrose Park, IL

Mr. Jason Peter Schallack, MFA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1414 Main St, Melrose Park, IL 60160 Phone: 708-681-0073 Fax: 708-681-3958
Richard O Sodeinde, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1414 Main St, Melrose Park, IL 60160 Phone: 708-681-0073 Fax: 708-681-3958
Joanna Giordano, MA, LPC, QMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1414 Main St, Melrose Park, IL 60160 Phone: 708-681-0073
Michelle Lagrimas, B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1414 Main St, Melrose Park, IL 60160 Phone: 708-681-4357
Douglas William Barge, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1414 Main St, Melrose Park, IL 60160 Phone: 708-786-8546
Natalie Jinete, Counselor Medicare: Medicare Enrolled Practice Location: 1414 Main St, Melrose Park, IL 60160 Phone: 708-681-0073 Fax: 708-681-3958
Ms. Agnieszka Alina Wysocka, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4419 W North Ave, Melrose Park, IL 60160 Phone: 773-777-7112 Fax: 708-547-7732

Mujtaba Ahmed, - Medicare Counselor in Melrose Park, IL