Akm Abuhiya, MD - Medicare Pediatrics in Fort Atkinson, WI

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Akm Abuhiya, MD is a medicare enrolled "Pediatrics" physician in Fort Atkinson, Wisconsin. His current practice location is 500 Mcmillen St, Fort Atkinson, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 563-5571.

Akm Abuhiya is licensed to practice in Wisconsin (license number 82334-20) 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 1164043097.

Contact Information

Akm Abuhiya, MD
500 Mcmillen St,
Fort Atkinson, WI 53538-1233
(920) 563-5571
Not Available

Map and Direction




Physician's Profile

Full NameAkm Abuhiya
GenderMale
SpecialityPediatrics
Location500 Mcmillen St, Fort Atkinson, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164043097
  • Provider Enumeration Date: 05/01/2020
  • Last Update Date: 07/05/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8123482148
  • Enrollment ID: I20230908003639

Medical Identifiers

Medical identifiers for Akm Abuhiya such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164043097NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 82334-20 (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. Akm Abuhiya allows following entities to bill medicare on his behalf.
Entity NameFort Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417993361
PECOS PAC ID: 0840189718
Enrollment ID: O20040319001411

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. Akm Abuhiya 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 AddressPractice Location Address
Akm Abuhiya, MD
500 Mcmillen St,
Fort Atkinson, WI 53538-1233

Ph: (920) 563-5571		Akm Abuhiya, MD
500 Mcmillen St,
Fort Atkinson, WI 53538-1233

Ph: (920) 563-5571

Reviews and Comments


Pediatrics Doctors in Fort Atkinson, WI

Dr. Caitlin Victoria Mary Fleming, MD/MBA
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 500 Mcmillen St, Fort Atkinson, WI 53538
Phone: 713-500-5666    Fax: 713-500-5800
Catherine L Sweeney, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 500 Mcmillen St, Fort Atkinson, WI 53538
Phone: 920-563-5571    Fax: 920-563-7705

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.