Mubarik Ahmad Shah, MD is a medicare enrolled "Surgery" physician in Port Tobacco, Maryland. His current practice location is
6248 Stone Hill Ct, Port Tobacco, Maryland. You can reach out to his office (for appointments etc.) via phone at
(267) 909-3310.
Mubarik Ahmad Shah is licensed to practice in Florida (license number ME89362) 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 1538152624.
Physician's Profile
Full Name | Mubarik Ahmad Shah |
---|
Gender | Male |
---|
Speciality | Surgery |
---|
Location | 6248 Stone Hill Ct, Port Tobacco, Maryland |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1538152624
- Provider Enumeration Date: 08/24/2005
- Last Update Date: 04/08/2014
Medicare PECOS Information:
- PECOS PAC ID: 9739140591
- Enrollment ID: I20081105000863
Medical Identifiers
Medical identifiers for Mubarik Ahmad Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538152624 | NPI | - | NPPES |
270463300 | Medicaid | FL | |
48756 | Other | FL | BCBS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | ME89362 (Florida) | Primary |
2086S0129X | Surgery - Vascular Surgery | ME89362 (Florida) | Secondary |
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. Mubarik Ahmad Shah allows following entities to bill medicare on his behalf.
Entity Name | University Of Maryland Community Medical Group Inc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1477530624 PECOS PAC ID: 3678472214 Enrollment ID: O20040102000687 |
---|
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. Mubarik Ahmad Shah 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 |
Mubarik Ahmad Shah, MD 6248 Stone Hill Ct, Port Tobacco, MD 20677-3403 Ph: (267) 909-3310 | Mubarik Ahmad Shah, MD 6248 Stone Hill Ct, Port Tobacco, MD 20677-3403 Ph: (267) 909-3310 |
Reviews and Comments