Mohammad A Tulimat, M D is a medicare enrolled "Internal Medicine" physician in Independence, Kentucky. His current practice location is
2025 Declaration Dr, Independence, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(859) 363-3330.
Mohammad A Tulimat is licensed to practice in Kentucky (license number 42299) 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 1962580258.
Physician's Profile
| Full Name | Mohammad A Tulimat |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 2025 Declaration Dr, Independence, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1962580258
- Provider Enumeration Date: 11/02/2006
- Last Update Date: 04/29/2015
Medicare PECOS Information:
- PECOS PAC ID: 3678501236
- Enrollment ID: I20090910000658
Medical Identifiers
Medical identifiers for Mohammad A Tulimat such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962580258 | NPI | - | NPPES |
| 0123044 | Medicaid | OH | |
| 7100097830 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 4301079635 (Michigan) | Secondary |
| 207R00000X | Internal Medicine | 35-124503 (Ohio) | Secondary |
| 207R00000X | Internal Medicine | 42299 (Kentucky) | 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. Mohammad A Tulimat allows following entities to bill medicare on his behalf.
| Entity Name | Medicine Inpatient Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326227307
PECOS PAC ID: 3577645340
Enrollment ID: O20150108000836 |
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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. Mohammad A Tulimat 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 |
|---|
Mohammad A Tulimat, M D
2025 Declaration Dr,
Independence, KY 41051-7983
Ph: (859) 363-3330 | Mohammad A Tulimat, M D
2025 Declaration Dr,
Independence, KY 41051-7983
Ph: (859) 363-3330 |
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