Azhar Imam, MD in Waterbury, CT - Medicare Psychiatry & Neurology

Azhar Imam, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Waterbury, Connecticut. His current practice location is 100 Jefferson Square, Waterbury, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 709-6200.

Azhar Imam is licensed to practice in Connecticut (license number 042814) 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 1578516597.

Contact Information

	Azhar Imam, MD
	100 Jefferson Square, Waterbury, CT 06706-1253
	(203) 709-6200
	(203) 709-3335

Map and Direction

Physician's Profile

Full Name	Azhar Imam
Gender	Male
Speciality	Psychiatry & Neurology - Psychiatry
Location	100 Jefferson Square, Waterbury, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578516597
Provider Enumeration Date: 05/19/2006
Last Update Date: 10/19/2011

Medicare PECOS Information:

PECOS PAC ID: 0446205348
Enrollment ID: I20050314000701

Medical Identifiers

Medical identifiers for Azhar Imam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578516597	NPI	-	NPPES
001428144	Medicaid	CT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	042814 (Connecticut)	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. Azhar Imam allows following entities to bill medicare on his behalf.

Entity Name	Trinity Health Of New England Provider Network Organization Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003882812 PECOS PAC ID: 0941113567 Enrollment ID: O20031110000651

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. Azhar Imam 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
Azhar Imam, MD 56 Franklin St, 3rd Floor, Waterbury, CT 06706-1221 Ph: (203) 709-8873	Azhar Imam, MD 100 Jefferson Square, Waterbury, CT 06706-1253 Ph: (203) 709-6200

Reviews and Comments

Psychiatry & Neurology Doctors in Waterbury, CT

Eleanor Elizabeth Stutz, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 95 Thomaston Ave, Dmhas - Wcmhn, Waterbury, CT 06702 Phone: 203-805-5300 Fax: 203-805-5310
Dr. Steven Eric Schneider, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 64 Robbins St, Waterbury, CT 06708 Phone: 203-573-7141 Fax: 203-573-6161
Judith Karen Carlson, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 55 West Main Street Suite 410, Western Connecticut Mental Health Network, Waterbury, CT 06702 Phone: 203-805-6408 Fax: 203-805-6432
Dr. Jeffrey Howard Boyd, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 969 W Main St, Waterbury, CT 06708 Phone: 203-573-8555 Fax: 203-597-9565
Rosina I Bandanza, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 95 Thomaston Ave, Western Connecticut Menatl Health Network, Waterbury, CT 06702 Phone: 203-805-5300 Fax: 203-805-5310
Alok Bhargava, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 134 Grandview Ave, Suite 208, Waterbury, CT 06708 Phone: 203-755-3279 Fax: 203-755-3057
Sabooh Mubbashar, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 64 Robbins St, Crisis Intervention Center, Waterbury, CT 06708 Phone: 203-573-6500 Fax: 203-573-7007

Azhar Imam, MD - Medicare Psychiatry & Neurology in Waterbury, CT