Mirza Shahzad Hasan, MD | |
999 Illinois Ave, Maumee, OH 43537-1715 | |
(419) 893-5591 | |
(419) 893-0162 |
Full Name | Mirza Shahzad Hasan |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 38 Years |
Location | 999 Illinois Ave, Maumee, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477653467 | NPI | - | NPPES |
100332720C | Medicaid | KS | |
0072146 | Medicaid | OH | |
H127590 | Other | OH | MEDICARE PTAN |
100332720B | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 04-27855 (Kansas) | Secondary |
208600000X | Surgery | 35.098760 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Fulton County Health Center | Wauseon, OH | Hospital |
Henry County Hospital, Inc | Napoleon, OH | Hospital |
Mercy St Vincent Medical Center | Toledo, OH | Hospital |
Promedica Toledo Hospital | Toledo, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Henry County Hospital Inc | 0345141644 | 18 |
Northwest Surgical Specialists, Inc. | 2062446677 | 3 |
Fchc Medical Care, Llc | 8022018704 | 57 |
Entity Name | Henry County Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407880909 PECOS PAC ID: 0345141644 Enrollment ID: O20040120000128 |
Entity Name | Northwest Surgical Specialists, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568489516 PECOS PAC ID: 2062446677 Enrollment ID: O20050922001233 |
Entity Name | Fchc Medical Care, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598821175 PECOS PAC ID: 8022018704 Enrollment ID: O20070103000005 |
Entity Name | Wilmington Physicians Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932401411 PECOS PAC ID: 4688853419 Enrollment ID: O20110126000617 |
Mailing Address | Practice Location Address |
---|---|
Mirza Shahzad Hasan, MD 999 Illinois Ave, Maumee, OH 43537-1715 Ph: (419) 893-5591 | Mirza Shahzad Hasan, MD 999 Illinois Ave, Maumee, OH 43537-1715 Ph: (419) 893-5591 |
Dr. Darrell Kennedy Evans Jr., M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 5871 Monclova Rd, Maumee, OH 43537 Phone: 419-897-8376 Fax: 419-887-8789 | |
Dr. Kyle Jordan Duckett, D.O. Surgery Medicare: Medicare Enrolled Practice Location: 999 Illinois Ave, Maumee, OH 43537 Phone: 419-893-5591 | |
Mrs. Anita Lucia Antoniolli, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5705 Monclova Rd Ste 203, Maumee, OH 43537 Phone: 419-893-7812 Fax: 419-893-7815 | |
Dr. Beth A White, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 999 Illinois Ave, Maumee, OH 43537 Phone: 419-893-5591 Fax: 419-893-0162 | |
Dr. Dimitrios N Xanthakos, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 6811 Hickory Hill Dr, Maumee, OH 43537 Phone: 419-865-6548 Fax: 419-865-6528 | |
Dr. Robert K Morris, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 5757 Monclova Rd, Suite 26, Maumee, OH 43537 Phone: 419-897-9045 Fax: 866-205-0449 |