Ahmed Ismail, DO is a medicare enrolled "Hospitalist" physician in Summit, Wisconsin. His current practice location is
36500 Aurora Dr, Summit, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(262) 434-1000.
Ahmed Ismail is licensed to practice in Wisconsin (license number 81164) 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 1346863321.
Physician's Profile
| Full Name | Ahmed Ismail |
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| Gender | Male |
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| Speciality | Hospitalist |
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| Location | 36500 Aurora Dr, Summit, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1346863321
- Provider Enumeration Date: 05/25/2020
- Last Update Date: 09/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 3678932233
- Enrollment ID: I20230629004018
Medical Identifiers
Medical identifiers for Ahmed Ismail such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346863321 | NPI | - | NPPES |
| 100242525 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 125.075984 (Illinois) | Secondary |
| 208M00000X | Hospitalist | 81164 (Wisconsin) | 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. Ahmed Ismail allows following entities to bill medicare on his behalf.
| Entity Name | Aurora Medical Group, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725 |
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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. Ahmed Ismail 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 |
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Ahmed Ismail, DO
Po Box 735044,
Chicago, IL 60673-5044
Ph: () - | Ahmed Ismail, DO
36500 Aurora Dr,
Summit, WI 53066-4899
Ph: (262) 434-1000 |
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