Zoya Mirza, in Lake Forest, IL - Medicare Counselor Provider

Zoya Mirza, is a medicare enrolled "Counselor - Mental Health" provider in Lake Forest, Illinois. Her current practice location is 222 E Wisconsin Ave Ste 111e, Lake Forest, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 445-6608.

Zoya Mirza is licensed to practice in Illinois (license number 178020423) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1568180818.

Contact Information

	Zoya Mirza,
	222 E Wisconsin Ave Ste 111e, Lake Forest, IL 60045-1700
	(847) 445-6608
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Zoya Mirza
Gender	Female
Speciality	Counselor - Mental Health
Location	222 E Wisconsin Ave Ste 111e, Lake Forest, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568180818
Provider Enumeration Date: 08/22/2022
Last Update Date: 11/19/2024

Medicare PECOS Information:

PECOS PAC ID: 1052850021
Enrollment ID: I20241004000680

Medical Identifiers

Medical identifiers for Zoya Mirza such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568180818	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	178020423 (Illinois)	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. Zoya Mirza allows following entities to bill medicare on her behalf.

Entity Name	Z Holistic Connections Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457119216 PECOS PAC ID: 5890234850 Enrollment ID: O20240822002419

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. Zoya Mirza 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
Zoya Mirza, 222 E Wisconsin Ave Ste 111e, Lake Forest, IL 60045-1700 Ph: () -	Zoya Mirza, 222 E Wisconsin Ave Ste 111e, Lake Forest, IL 60045-1700 Ph: (847) 445-6608

Reviews and Comments

Counselor in Lake Forest, IL

Melissa H Skinner, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 515 Linden Ave, Lake Forest, IL 60045 Phone: 872-222-3132
Melissa M Carava, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 222 E Wisconsin Ave Ste 108, Lake Forest, IL 60045 Phone: 773-717-2620
Angela Selvaggio, Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Saunders Rd Ste 150, Lake Forest, IL 60045 Phone: 847-574-5718
Olivia Nickulis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Westminster Pl Ste 101, Lake Forest, IL 60045 Phone: 847-919-9096
Dr. Jessica Sectzer-rubin, PSY.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 240 E Illinois Rd, Lake Forest, IL 60045 Phone: 847-234-0534
Mrs. Sarah Gunderson, Counselor Medicare: Medicare Enrolled Practice Location: 600 Burton Dr, Lake Forest, IL 60045 Phone: 847-668-1643
Karen Elizabeth Cohen, M.S. ,LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1331 S. Estate Lane, Lake Forest, IL 60045 Phone: 847-987-3213

Zoya Mirza, - Medicare Counselor in Lake Forest, IL