Mr Mohamad Zia Siddiqui, DO in Fort Worth, TX

Mr Mohamad Zia Siddiqui, DO is a medicare enrolled "Family Medicine" physician in Fort Worth, Texas. His current practice location is 6451 Brentwood Stair Rd Ste 200, Fort Worth, Texas. You can reach out to his office (for appointments etc.) via phone at (972) 249-0206.

Mr Mohamad Zia Siddiqui is licensed to practice in Texas (license number S2509) 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 1568742666.

Contact Information

	Mr Mohamad Zia Siddiqui, DO
	6451 Brentwood Stair Rd Ste 200, Fort Worth, TX 76112-3200
	(972) 249-0206
	Not Available

Map and Direction

Physician's Profile

Full Name	Mr Mohamad Zia Siddiqui
Gender	Male
Speciality	Family Medicine
Location	6451 Brentwood Stair Rd Ste 200, Fort Worth, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568742666
Provider Enumeration Date: 08/19/2011
Last Update Date: 10/10/2019

Medicare PECOS Information:

PECOS PAC ID: 4587881552
Enrollment ID: I20191107000672

Medical Identifiers

Medical identifiers for Mr Mohamad Zia Siddiqui such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568742666	NPI	-	NPPES
04349060	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	278779 (New York)	Secondary
208M00000X	Hospitalist	278779-1 (New York)	Secondary
207Q00000X	Family Medicine	S2509 (Texas)	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 Mohamad Zia Siddiqui allows following entities to bill medicare on his behalf.

Entity Name	Healthtexas Provider Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760488936 PECOS PAC ID: 1355254210 Enrollment ID: O20040727001187

Entity Name	Ipc Pac Healthcare Services Of Texas Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194174201 PECOS PAC ID: 1759676307 Enrollment ID: O20160823000163

Entity Name	Nv Pacs 2 Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427534809 PECOS PAC ID: 0941550578 Enrollment ID: O20210820003080

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 Mohamad Zia Siddiqui 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 Mohamad Zia Siddiqui, DO 5870 N Hiatus Rd, Tamarac, FL 33321-6424 Ph: (888) 447-2362	Mr Mohamad Zia Siddiqui, DO 6451 Brentwood Stair Rd Ste 200, Fort Worth, TX 76112-3200 Ph: (972) 249-0206

Reviews and Comments

Family Medicine Doctors in Fort Worth, TX

Jonathan A Lazarini, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1500 S Main St, Fort Worth, TX 76104 Phone: 903-353-2265
Mrs. Adeline Galvez, Family Medicine Medicare: Medicare Enrolled Practice Location: 1300 W Terrell Ave Ste 270, Fort Worth, TX 76104 Phone: 817-250-4987
Fomundam Newnton Mbuh, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 4759 South Fwy Ste 101, Fort Worth, TX 76115 Phone: 817-382-0005
Dr. Joane Baumer, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1500 S Main St, Family Medicine Center, Fort Worth, TX 76104 Phone: 817-335-1034
Evelyn Tobias-merrill, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2825 Stadium Dr, Fort Worth, TX 76109 Phone: 817-257-7940
Dr. Michael David Carletti, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 855 Montgomery St, Fort Worth, TX 76107 Phone: 817-735-0278
Jonathan Patrick Angel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 N Beach St Ste 104, Fort Worth, TX 76111 Phone: 817-831-1750 Fax: 817-831-1750

Mr Mohamad Zia Siddiqui, DO - Medicare Family Medicine in Fort Worth, TX