Amjad I Mufti, MD is a medicare enrolled "Internal Medicine" physician in Wilkes Abrre, Pennsylvania. His current practice location is
15 Alpine Court, Wilkes Abrre, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(570) 823-1022.
Amjad I Mufti is licensed to practice in Indiana (license number 01056108A) 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 1700888914.
Physician's Profile
Full Name | Amjad I Mufti |
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Gender | Male |
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Speciality | Internal Medicine |
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Location | 15 Alpine Court, Wilkes Abrre, Pennsylvania |
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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: 1700888914
- Provider Enumeration Date: 06/01/2005
- Last Update Date: 08/24/2015
Medicare PECOS Information:
- PECOS PAC ID: 3173588167
- Enrollment ID: I20041201000824
Medical Identifiers
Medical identifiers for Amjad I Mufti such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700888914 | NPI | - | NPPES |
820682 | Other | PA | FIRST PRIORITY HEALTH |
P00397954 | Other | PA | RAILROAD MEDICARE |
1020116790001 | Medicaid | PA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 01056108B (Indiana) | Secondary |
207R00000X | Internal Medicine | 01056108A (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. Amjad I Mufti allows following entities to bill medicare on his behalf.
Entity Name | Emergency Professionals Of Indiana Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013951219 PECOS PAC ID: 4183604150 Enrollment ID: O20040721000612 |
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Entity Name | Impact Physician Group Indiana Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1568930220 PECOS PAC ID: 6608111026 Enrollment ID: O20181212003675 |
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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. Amjad I Mufti 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 |
Amjad I Mufti, MD 1922 Lakes Edge Drive, Newburgh, IN 47630 Ph: (812) 490-7722 | Amjad I Mufti, MD 15 Alpine Court, Wilkes Abrre, PA 18702 Ph: (570) 823-1022 |
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