Dr Farooq A Mirza, MD - Medicare Surgery in Carrollton, KY

  1. Home
  2. Surgery
  3. KY
  4. Carrollton
Dr Farooq A Mirza, MD is a medicare enrolled "Surgery" physician in Carrollton, Kentucky. His current practice location is 309 11th St, Carrollton, Kentucky. You can reach out to his office (for appointments etc.) via phone at (502) 732-3799.

Dr Farooq A Mirza is licensed to practice in Kentucky (license number 20006) 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 1245259910.

Contact Information

Dr Farooq A Mirza, MD
309 11th St,
Carrollton, KY 41008-1435
(502) 732-3799
(502) 732-8551

Map and Direction




Physician's Profile

Full NameDr Farooq A Mirza
GenderMale
SpecialitySurgery
Location309 11th St, Carrollton, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245259910
  • Provider Enumeration Date: 07/19/2006
  • Last Update Date: 09/24/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4082794599
  • Enrollment ID: I20080109000215

Medical Identifiers

Medical identifiers for Dr Farooq A Mirza such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245259910NPI-NPPES
20006OtherKYSTATE LICENSE NUMBER
64866247MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 44235 (Ohio)Secondary
208600000XSurgery 20006 (Kentucky)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 Farooq A Mirza allows following entities to bill medicare on his behalf.
Entity NameCcmh Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225159601
PECOS PAC ID: 2365540465
Enrollment ID: O20080108000723

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 Farooq A Mirza 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 AddressPractice Location Address
Dr Farooq A Mirza, MD
309 11th St,
Carrollton, KY 41008-1435

Ph: (502) 732-3799		Dr Farooq A Mirza, MD
309 11th St,
Carrollton, KY 41008-1435

Ph: (502) 732-3799

Reviews and Comments


Surgery Doctors in Carrollton, KY

Jeannine Marie Perrenoud, D.O.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 329 Floyd Dr, Carrollton, KY 41008
Phone: 502-732-3270    
Patricia L Figert, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 309 11th St, Carrollton, KY 41008
Phone: 502-732-3204    Fax: 502-732-3213

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.