Dr Abdul R, Nizam Ii, MD is a medicare enrolled "Ophthalmology" physician in Moberly, Missouri. He graduated from medical school in 1980 and has 44 years of diverse experience with area of expertise as Ophthalmology. His current practice location is
630 N Morley St, Ste 101, Moberly, Missouri. You can reach out to his office (for appointments etc.) via phone at
(660) 263-0404.
Dr Abdul R, Nizam Ii is licensed to practice in Missouri (license number 113224) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1568465359.
Physician's Profile
| Full Name | Dr Abdul R, Nizam Ii |
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| Gender | Male |
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| Speciality | Ophthalmology |
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| Experience | 44 Years |
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| Location | 630 N Morley St, Moberly, Missouri |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Abdul R, Nizam Ii graduated from medical school in 1980
NPI Data:
- NPI Number: 1568465359
- Provider Enumeration Date: 05/24/2005
- Last Update Date: 02/07/2014
Medicare PECOS Information:
- PECOS PAC ID: 5496795064
- Enrollment ID: I20050504000007
Medical Identifiers
Medical identifiers for Dr Abdul R, Nizam Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568465359 | NPI | - | NPPES |
| 325927507 | Medicaid | MO | |
| 238605 | Other | MO | ADVANTRA |
| 209988542 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207W00000X | Ophthalmology | 113224 (Missouri) | Primary |
| 332H00000X | Eyewear Supplier | 113224 (Missouri) | Secondary |
Medical Facilities Affiliation
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. Dr Abdul R, Nizam Ii allows following entities to bill medicare on his behalf.
| Entity Name | Midwest Physician Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467850073
PECOS PAC ID: 1759606742
Enrollment ID: O20150216000644 |
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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. Dr Abdul R, Nizam Ii 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 |
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Dr Abdul R, Nizam Ii, MD
630 N Morley St, Ste 101,
Moberly, MO 65270-2556
Ph: (660) 263-0404 | Dr Abdul R, Nizam Ii, MD
630 N Morley St, Ste 101,
Moberly, MO 65270-2556
Ph: (660) 263-0404 |
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