Dr Fatima Mirza, MD is a medicare enrolled "Pediatrics" physician in Gladstone, Maryland. Her current practice location is
101 Nw Englewood Road, Suite 130, Gladstone, Maryland. You can reach out to her office (for appointments etc.) via phone at
(816) 455-1951.
Dr Fatima Mirza is licensed to practice in Missouri (license number MD3RD37) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1023195229.
Physician's Profile
Full Name | Dr Fatima Mirza |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 101 Nw Englewood Road, Gladstone, Maryland |
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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: 1023195229
- Provider Enumeration Date: 11/01/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 5991034118
- Enrollment ID: I20190912001035
Medical Identifiers
Medical identifiers for Dr Fatima Mirza such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023195229 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | MD3RD37 (Missouri) | 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 Fatima Mirza allows following entities to bill medicare on her behalf.
Entity Name | Kansas City Care Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1215273388 PECOS PAC ID: 9335386168 Enrollment ID: O20130514000624 |
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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 Fatima 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 Address | Practice Location Address |
Dr Fatima Mirza, MD 101 Nw Englewood Road, Suite 130, Gladstone, MD 64118 Ph: (816) 455-1951 | Dr Fatima Mirza, MD 101 Nw Englewood Road, Suite 130, Gladstone, MD 64118 Ph: (816) 455-1951 |
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