Dr Nadeem S Siddiqui, MD MPH is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Burton, Michigan. His current practice location is
1460 N Center Rd, Burton, Michigan. You can reach out to his office (for appointments etc.) via phone at
(810) 715-4620.
Dr Nadeem S Siddiqui is licensed to practice in Michigan (license number 4301072234) 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 1740492909.
Physician's Profile
| Full Name | Dr Nadeem S Siddiqui |
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| Gender | Male |
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| Speciality | Preventive Medicine - Occupational Medicine |
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| Location | 1460 N Center Rd, Burton, Michigan |
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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: 1740492909
- Provider Enumeration Date: 05/03/2007
- Last Update Date: 11/04/2016
Medicare PECOS Information:
- PECOS PAC ID: 5395928360
- Enrollment ID: I20130905000736
Medical Identifiers
Medical identifiers for Dr Nadeem S Siddiqui such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740492909 | NPI | - | NPPES |
| 4375427 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2083X0100X | Preventive Medicine - Occupational Medicine | 4301072234 (Michigan) | 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 Nadeem S Siddiqui allows following entities to bill medicare on his behalf.
| Entity Name | Centennial Medical Group, Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134235039
PECOS PAC ID: 2668466038
Enrollment ID: O20040409000473 |
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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 Nadeem S Siddiqui 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 Nadeem S Siddiqui, MD MPH
8186 Lark Brown Rd, Ste 201,
Elkridge, MD 21075-6434
Ph: (410) 730-3399 | Dr Nadeem S Siddiqui, MD MPH
1460 N Center Rd,
Burton, MI 48509-1429
Ph: (810) 715-4620 |
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