Dr Ahmad Kazemi, MD is a medicare enrolled "Family Medicine" physician in Kenilworth, New Jersey. His current practice location is
562 Boulevard, Kenilworth, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(908) 272-1300.
Dr Ahmad Kazemi is licensed to practice in New Jersey (license number MAO30770) 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 1588640874.
Physician's Profile
| Full Name | Dr Ahmad Kazemi |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 562 Boulevard, Kenilworth, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1588640874
- Provider Enumeration Date: 12/19/2005
- Last Update Date: 06/25/2010
Medicare PECOS Information:
- PECOS PAC ID: 6608041454
- Enrollment ID: I20120124000790
Medical Identifiers
Medical identifiers for Dr Ahmad Kazemi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588640874 | NPI | - | NPPES |
| 2970708-01 | Medicaid | NJ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | MAO30770 (New Jersey) | 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. Dr Ahmad Kazemi allows following entities to bill medicare on his behalf.
| Entity Name | Empire Medical Associates Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760515860
PECOS PAC ID: 1355333469
Enrollment ID: O20040331000144 |
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| Entity Name | Optum Medical Care Of New Jersey Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578665048
PECOS PAC ID: 3072650290
Enrollment ID: O20091021000129 |
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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 Ahmad Kazemi 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 |
|---|
Dr Ahmad Kazemi, MD
562 Boulevard,
Kenilworth, NJ 07033-1673
Ph: (908) 272-1300 | Dr Ahmad Kazemi, MD
562 Boulevard,
Kenilworth, NJ 07033-1673
Ph: (908) 272-1300 |
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