Ismat Mrad, MD is a medicare enrolled "Anesthesiology" physician in Wellsville, New York. His current practice location is
191 N Main St, Wellsville, New York. You can reach out to his office (for appointments etc.) via phone at
(313) 657-3696.
Ismat Mrad is licensed to practice in New York (license number 321205) 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 1477221141.
Physician's Profile
Full Name | Ismat Mrad |
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Gender | Male |
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Speciality | Anesthesiology |
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Location | 191 N Main St, Wellsville, New York |
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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: 1477221141
- Provider Enumeration Date: 08/30/2021
- Last Update Date: 09/19/2023
Medicare PECOS Information:
- PECOS PAC ID: 6709283682
- Enrollment ID: I20231018000835
Medical Identifiers
Medical identifiers for Ismat Mrad such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477221141 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 321205 (New York) | 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. Ismat Mrad allows following entities to bill medicare on his behalf.
Entity Name | St James Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013985399 PECOS PAC ID: 0345154480 Enrollment ID: O20031113000649 |
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Entity Name | U Of R Anesthesiology Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1609806488 PECOS PAC ID: 3476451105 Enrollment ID: O20031219000433 |
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Entity Name | The Memorial Hospital Of William F And Gertrude F Jones Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1720030703 PECOS PAC ID: 7012828486 Enrollment ID: O20040310000938 |
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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. Ismat Mrad 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 |
Ismat Mrad, MD 97 Fairlawn Ave, Hornell, NY 14843-1744 Ph: (313) 657-3696 | Ismat Mrad, MD 191 N Main St, Wellsville, NY 14895-1150 Ph: (313) 657-3696 |
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