Khadijah B Ahmad, MD is a medicare enrolled "Family Medicine" physician in Wisc Rapids, Wisconsin. She graduated from medical school in 1997 and has 28 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Marshfield Clinic Inc and her current practice location is
220 24th St South, Wisc Rapids, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 424-8668.
Khadijah B Ahmad is licensed to practice in Wisconsin (license number 43721) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1386756534.
Physician's Profile
| Full Name | Khadijah B Ahmad |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 28 Years |
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| Location | 220 24th St South, Wisc Rapids, Wisconsin |
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| Accepts Medicare Assignments | Yes. She 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:
- Khadijah B Ahmad graduated from medical school in 1997
NPI Data:
- NPI Number: 1386756534
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 3375506785
- Enrollment ID: I20041108000060
Medical Identifiers
Medical identifiers for Khadijah B Ahmad such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386756534 | NPI | - | NPPES |
| 34595200 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 43721 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Marshfield Clinic Inc | 2264345206 | 92 |
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. Khadijah B Ahmad allows following entities to bill medicare on her behalf.
| Entity Name | Marshfield Clinic Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952347981
PECOS PAC ID: 2264345206
Enrollment ID: O20031106000590 |
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| Entity Name | Mchs Hospitals Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093221434
PECOS PAC ID: 5698071173
Enrollment ID: O20180208000096 |
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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. Khadijah B Ahmad 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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Khadijah B Ahmad, MD
1000 N Oak Ave,
Marshfield, WI 54449-5777
Ph: () - | Khadijah B Ahmad, MD
220 24th St South,
Wisc Rapids, WI 54494
Ph: (715) 424-8668 |
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