Imtiaz Mohamed, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Hayward, Wisconsin. His current practice location is
11040 N State Road 77, Hayward, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(715) 934-4321.
Imtiaz Mohamed is licensed to practice in Minnesota (license number 56386) 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 1396796884.
Physician's Profile
| Full Name | Imtiaz Mohamed |
|---|
| Gender | Male |
|---|
| Speciality | Internal Medicine - Gastroenterology |
|---|
| Location | 11040 N State Road 77, Hayward, Wisconsin |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1396796884
- Provider Enumeration Date: 05/12/2006
- Last Update Date: 06/12/2020
Medicare PECOS Information:
- PECOS PAC ID: 9739197534
- Enrollment ID: I20060404000760
Medical Identifiers
Medical identifiers for Imtiaz Mohamed such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396796884 | NPI | - | NPPES |
| 1396796884 | Medicaid | MI | |
| 1396796884 | Medicaid | WI | |
| 1396796884 | Medicaid | MN | |
| 32584300 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 41063 (Wisconsin) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | 56386 (Minnesota) | 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. Imtiaz Mohamed allows following entities to bill medicare on his behalf.
| Entity Name | Medical Services, Inc |
|---|
| Entity Type | Part A Provider - Critical Access Hospital |
|---|
| Entity Identifiers | NPI Number: 1912992827
PECOS PAC ID: 9436061363
Enrollment ID: O20061104000208 |
|---|
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. Imtiaz Mohamed 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 |
|---|
Imtiaz Mohamed, MD
11040 N State Road 77,
Hayward, WI 54843-3606
Ph: (715) 934-4321 | Imtiaz Mohamed, MD
11040 N State Road 77,
Hayward, WI 54843-3606
Ph: (715) 934-4321 |
Reviews and Comments