Ambereen Alam, MD in Grand Forks, ND

Ambereen Alam, MD is a medicare enrolled "Pediatrics" physician in Grand Forks, North Dakota. Her current practice location is 1200 S Columbia Rd, Grand Forks, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 780-5000.

Ambereen Alam is licensed to practice in North Dakota (license number 18869) 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 1841483492.

Contact Information

	Ambereen Alam, MD
	1200 S Columbia Rd, Grand Forks, ND 58201
	(701) 780-5000
	(618) 876-0807

Map and Direction

Physician's Profile

Full Name	Ambereen Alam
Gender	Female
Speciality	Pediatrics
Location	1200 S Columbia Rd, Grand Forks, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841483492
Provider Enumeration Date: 08/27/2007
Last Update Date: 12/15/2022

Medicare PECOS Information:

PECOS PAC ID: 6507281201
Enrollment ID: I20221230001572

Medical Identifiers

Medical identifiers for Ambereen Alam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841483492	NPI	-	NPPES
036114367	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	18869 (North Dakota)	Primary
208000000X	Pediatrics	036114367 (Illinois)	Secondary

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. Ambereen Alam allows following entities to bill medicare on her behalf.

Entity Name	Altru Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043309552 PECOS PAC ID: 1355251604 Enrollment ID: O20031111000714

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. Ambereen Alam 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
Ambereen Alam, MD 2401 Demers Ave, Grand Forks, ND 58201 Ph: (701) 780-1891	Ambereen Alam, MD 1200 S Columbia Rd, Grand Forks, ND 58201 Ph: (701) 780-5000

Reviews and Comments

Pediatrics Doctors in Grand Forks, ND

Dr. Jennifer M Peterson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1380 S Columbia Rd - Altru Family Medicine Center, Grand Forks, ND 58201 Phone: 701-795-2000 Fax: 701-780-1896
Lori A Sondrol, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1380 S Columbia Rd - Altru Family Medical Center, Grand Forks, ND 58201 Phone: 701-795-2000
Mr. Miltiadis Douvoyiannis, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1380 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-795-2000 Fax: 701-780-4477
Bernard Jerome Hoggarth, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1000 S Columbia Road, Grand Forks, ND 58206 Phone: 701-780-5000 Fax: 701-780-1942
Susan K Zelewski, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1380 S Columbia Rd - Altru Family Medicine Center, Grand Forks, ND 58201 Phone: 701-795-2000
Dr. Nicole Marie Zimmerman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1380 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-795-2000
Mrs. Gloria A Adjekum, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1380 S Columbia Rd - Altru Family Medicine Center, Grand Forks, ND 58201 Phone: 701-795-2000 Fax: 212-939-4022

Ambereen Alam, MD - Medicare Pediatrics in Grand Forks, ND