Dr Mahrukh Nisar, MD is a medicare enrolled "Dermatology" physician in Oxford, Alabama. Her current practice location is
1419 Hamric Dr E Ste 101, Oxford, Alabama. You can reach out to her office (for appointments etc.) via phone at
(256) 235-3660.
Dr Mahrukh Nisar is licensed to practice in Alabama (license number MD.45230) 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 1306283411.
Physician's Profile
Full Name | Dr Mahrukh Nisar |
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Gender | Female |
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Speciality | Dermatology |
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Location | 1419 Hamric Dr E Ste 101, Oxford, Alabama |
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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: 1306283411
- Provider Enumeration Date: 05/30/2013
- Last Update Date: 04/24/2023
Medicare PECOS Information:
- PECOS PAC ID: 3678873742
- Enrollment ID: I20180417002327
Medical Identifiers
Medical identifiers for Dr Mahrukh Nisar such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306283411 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 186828 (Oregon) | Secondary |
207N00000X | Dermatology | MD.45230 (Alabama) | 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 Mahrukh Nisar allows following entities to bill medicare on her behalf.
Entity Name | Kaiser Foundation Health Plan Of Washington |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454 |
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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 Mahrukh Nisar 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 Mahrukh Nisar, MD 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 Ph: (253) 596-3300 | Dr Mahrukh Nisar, MD 1419 Hamric Dr E Ste 101, Oxford, AL 36203-2174 Ph: (256) 235-3660 |
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