Amirummul B Nusairee, MD in Fort Wayne, IN

Amirummul B Nusairee, MD is a medicare enrolled "Family Medicine" physician in Fort Wayne, Indiana. Her current practice location is 750 Broadway, Suite 150, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 423-2682.

Amirummul B Nusairee is licensed to practice in Indiana (license number 11017435A) 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 1376983296.

Contact Information

	Amirummul B Nusairee, MD
	750 Broadway, Suite 150, Fort Wayne, IN 46802-1411
	(260) 423-2682
	(260) 422-4326

Map and Direction

Physician's Profile

Full Name	Amirummul B Nusairee
Gender	Female
Speciality	Family Medicine
Location	750 Broadway, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376983296
Provider Enumeration Date: 06/25/2013
Last Update Date: 03/22/2016

Medicare PECOS Information:

PECOS PAC ID: 9436373982
Enrollment ID: I20171208000694

Medical Identifiers

Medical identifiers for Amirummul B Nusairee such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376983296	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	11017435A (Indiana)	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. Amirummul B Nusairee allows following entities to bill medicare on her behalf.

Entity Name	Verity Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326312067 PECOS PAC ID: 7416119110 Enrollment ID: O20120425000408

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. Amirummul B Nusairee 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
Amirummul B Nusairee, MD 750 Broadway, Suite 350, Fort Wayne, IN 46802-1411 Ph: (260) 423-2675	Amirummul B Nusairee, MD 750 Broadway, Suite 150, Fort Wayne, IN 46802-1411 Ph: (260) 423-2682

Reviews and Comments

Family Medicine Doctors in Fort Wayne, IN

Rebecca Mason, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8233 Glencarin Blvd, Fort Wayne, IN 46804 Phone: 260-425-5470 Fax: 260-425-5475
Anthony D Dennis, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 11635 Coldwater Rd, Fort Wayne, IN 46845 Phone: 260-637-1661 Fax: 260-637-1601
Dr. Charles R Pattan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11050 Parkview Circle Dr, Fort Wayne, IN 46845 Phone: 833-724-8326 Fax: 260-266-8941
Gregory L Chupp, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-469-6610
Christina Mcguirk, Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 2200 Randallia Dr, Fort Wayne, IN 46805 Phone: 260-373-4000
Samantha Dawn Warden, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 750 Broadway Ste 350, Fort Wayne, IN 46802 Phone: 260-423-2675 Fax: 260-423-6621
Dr. Mary Ann O'brien, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-496-6602 Fax: 260-969-3065

Amirummul B Nusairee, MD - Medicare Family Medicine in Fort Wayne, IN