Mirza Adnan, is a medicare enrolled "Internal Medicine" physician in Upper Saddle River, New Jersey. His current practice location is
600 E Crescent Ave Ste 305, Upper Saddle River, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(845) 738-8770.
Mirza Adnan is licensed to practice in New York (license number P125651) 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 1083489843.
Physician's Profile
Full Name | Mirza Adnan |
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Gender | Male |
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Speciality | Internal Medicine |
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Location | 600 E Crescent Ave Ste 305, Upper Saddle River, New Jersey |
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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: 1083489843
- Provider Enumeration Date: 11/21/2023
- Last Update Date: 11/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 9133570005
- Enrollment ID: I20240105000249
Medical Identifiers
Medical identifiers for Mirza Adnan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083489843 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | P125651 (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. Mirza Adnan allows following entities to bill medicare on his behalf.
Entity Name | Ilm Medical Care Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1023442035 PECOS PAC ID: 2769610989 Enrollment ID: O20140312001236 |
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Entity Name | Clear Choice Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285155499 PECOS PAC ID: 1759636491 Enrollment ID: O20180620001586 |
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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. Mirza Adnan 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 |
Mirza Adnan, 482 Genesee Ave Fl 1, Staten Island, NY 10312-3206 Ph: (347) 662-9009 | Mirza Adnan, 600 E Crescent Ave Ste 305, Upper Saddle River, NJ 07458-1846 Ph: (845) 738-8770 |
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