Dr Mohammad Akhtaruzzaman, MD is a medicare enrolled "Allergy & Immunology" physician in Canton, New York. He graduated from medical school in 1980 and has 44 years of diverse experience with area of expertise as Allergy/immunology. He is a member of the group practice Canton-potsdam Hospital and his current practice location is
6119 St. Highway Rt 11, Canton, New York. You can reach out to his office (for appointments etc.) via phone at
(315) 714-3170.
Dr Mohammad Akhtaruzzaman is licensed to practice in New York (license number 173523) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1891840625.
Physician's Profile
| Full Name | Dr Mohammad Akhtaruzzaman |
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| Gender | Male |
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| Speciality | Allergy/immunology |
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| Experience | 44 Years |
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| Location | 6119 St. Highway Rt 11, Canton, New York |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Mohammad Akhtaruzzaman graduated from medical school in 1980
NPI Data:
- NPI Number: 1891840625
- Provider Enumeration Date: 01/24/2007
- Last Update Date: 11/30/2018
Medicare PECOS Information:
- PECOS PAC ID: 8527145440
- Enrollment ID: I20130327000461
Medical Identifiers
Medical identifiers for Dr Mohammad Akhtaruzzaman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1891840625 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207KA0200X | Allergy & Immunology - Allergy | 2007032912 (Missouri) | Secondary |
| 207K00000X | Allergy & Immunology | 173523 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Canton-potsdam Hospital | 6204827280 | 197 |
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 Mohammad Akhtaruzzaman allows following entities to bill medicare on his behalf.
| Entity Name | Canton-potsdam Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568548782
PECOS PAC ID: 6204827280
Enrollment ID: O20040519000761 |
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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 Mohammad Akhtaruzzaman 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 |
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Dr Mohammad Akhtaruzzaman, MD
50 Leroy St,
Potsdam, NY 13676-1799
Ph: (315) 714-3170 | Dr Mohammad Akhtaruzzaman, MD
6119 St. Highway Rt 11,
Canton, NY 13617-1450
Ph: (315) 714-3170 |
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