Dr Jawairia Sahar K Mirza, MD is a medicare enrolled "Hospitalist" physician in West Bend, Wisconsin. Her current practice location is
3200 Pleasant Valley Rd, West Bend, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(262) 334-5553.
Dr Jawairia Sahar K Mirza is licensed to practice in Wisconsin (license number 84200) 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 1619557170.
Physician's Profile
| Full Name | Dr Jawairia Sahar K Mirza |
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| Gender | Female |
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| Speciality | Hospitalist |
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| Location | 3200 Pleasant Valley Rd, West Bend, Wisconsin |
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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: 1619557170
- Provider Enumeration Date: 04/09/2021
- Last Update Date: 10/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 6406388628
- Enrollment ID: I20241014001242
Medical Identifiers
Medical identifiers for Dr Jawairia Sahar K Mirza such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619557170 | NPI | - | NPPES |
| 1619557170 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 84200 (Wisconsin) | Secondary |
| 208M00000X | Hospitalist | 84200 (Wisconsin) | 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 Jawairia Sahar K Mirza allows following entities to bill medicare on her behalf.
| Entity Name | The Medical College Of Wisconsin Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699720086
PECOS PAC ID: 2668384371
Enrollment ID: O20031120000259 |
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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 Jawairia Sahar K 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 Jawairia Sahar K Mirza, MD
3200 Pleasant Valley Rd,
West Bend, WI 53095-9274
Ph: (262) 334-5553 | Dr Jawairia Sahar K Mirza, MD
3200 Pleasant Valley Rd,
West Bend, WI 53095-9274
Ph: (262) 334-5553 |
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