Dr Sami A Nizam Ii, MD, DMD is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Montgomery, Alabama. His current practice location is
4590 Woodmere Blvd, Montgomery, Alabama. You can reach out to his office (for appointments etc.) via phone at
(334) 271-2002.
Dr Sami A Nizam Ii is licensed to practice in Alabama (license number 6484C) 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 1205150190.
Healthcare Provider's Profile
Full Name | Dr Sami A Nizam Ii |
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Gender | Male |
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Speciality | Oral & Maxillofacial Surgery |
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Location | 4590 Woodmere Blvd, Montgomery, Alabama |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1205150190
- Provider Enumeration Date: 03/21/2010
- Last Update Date: 07/30/2018
Medicare PECOS Information:
- PECOS PAC ID: 8628389053
- Enrollment ID: I20150625001499
Medical Identifiers
Medical identifiers for Dr Sami A Nizam Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205150190 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 22DI02509400 (New Jersey) | Secondary |
204E00000X | Oral & Maxillofacial Surgery | 4193 (Arkansas) | Secondary |
208200000X | Plastic Surgery | E-10461 (Arkansas) | Secondary |
204E00000X | Oral & Maxillofacial Surgery | 6484C (Alabama) | Primary |
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. Dr Sami A Nizam Ii 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 |
Dr Sami A Nizam Ii, MD, DMD 4590 Woodmere Blvd, Montgomery, AL 36106-2918 Ph: (334) 271-2002 | Dr Sami A Nizam Ii, MD, DMD 4590 Woodmere Blvd, Montgomery, AL 36106 Ph: (334) 271-2002 |
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