Mr Ayyaz Mahmood Qureshi, MD is a medicare enrolled "Internal Medicine" physician in Mayodan, North Carolina. His current practice location is
505 N 3rd Ave, Mayodan, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(336) 548-2456.
Mr Ayyaz Mahmood Qureshi is licensed to practice in North Carolina (license number 27841) 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 1730114026.
Physician's Profile
Full Name | Mr Ayyaz Mahmood Qureshi |
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Gender | Male |
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Speciality | Internal Medicine |
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Location | 505 N 3rd Ave, Mayodan, North Carolina |
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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: 1730114026
- Provider Enumeration Date: 07/12/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 1456402312
- Enrollment ID: I20090706000581
Medical Identifiers
Medical identifiers for Mr Ayyaz Mahmood Qureshi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730114026 | NPI | - | NPPES |
11626 | Other | | PARTNERS |
6075282 | Medicaid | VA | |
8969745 | Medicaid | NC | |
433041 | Other | | ATHEM |
69745 | Other | NC | BLUE CROSS SHIELD |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 27841 (North Carolina) | 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. Mr Ayyaz Mahmood Qureshi allows following entities to bill medicare on his behalf.
Entity Name | Knd Development 59 Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1619206133 PECOS PAC ID: 3678602802 Enrollment ID: O20100719000361 |
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Entity Name | Triad Medical Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1194267336 PECOS PAC ID: 4183900210 Enrollment ID: O20170404000997 |
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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. Mr Ayyaz Mahmood Qureshi 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 |
Mr Ayyaz Mahmood Qureshi, MD 505 N 3rd Ave, Mayodan, NC 27027 Ph: (336) 548-2456 | Mr Ayyaz Mahmood Qureshi, MD 505 N 3rd Ave, Mayodan, NC 27027 Ph: (336) 548-2456 |
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