Nafisa Islam, MD in Brookville, OH - Medicare Family Medicine

Nafisa Islam, MD is a medicare enrolled "Family Medicine" physician in Brookville, Ohio. Her current practice location is 187 Bruns Dr, Brookville, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 838-4928.

Nafisa Islam is licensed to practice in Ohio (license number 094840) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1336356740.

Contact Information

	Nafisa Islam, MD
	187 Bruns Dr, Brookville, OH 45309-1112
	(937) 838-4928
	Not Available

Map and Direction

Physician's Profile

Full Name	Nafisa Islam
Gender	Female
Speciality	Family Medicine
Location	187 Bruns Dr, Brookville, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336356740
Provider Enumeration Date: 05/16/2007
Last Update Date: 03/05/2020

Medicare PECOS Information:

PECOS PAC ID: 8527199736
Enrollment ID: I20100702000475

Medical Identifiers

Medical identifiers for Nafisa Islam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336356740	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	094840 (Ohio)	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. Nafisa Islam allows following entities to bill medicare on her behalf.

Entity Name	Blanchard Valley Medical Practice Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962501627 PECOS PAC ID: 9234168147 Enrollment ID: O20050811000177

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. Nafisa Islam 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
Nafisa Islam, MD 187 Bruns Dr, Brookville, OH 45309-1112 Ph: (937) 838-4928	Nafisa Islam, MD 187 Bruns Dr, Brookville, OH 45309-1112 Ph: (937) 838-4928

Reviews and Comments

Family Medicine Doctors in Brookville, OH

Donald P. Wharton, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 950 Salem St, Brookville, OH 45309 Phone: 937-833-4581 Fax: 937-833-5359
Melissa Dawn Slack, APRN Family Medicine Medicare: Medicare Enrolled Practice Location: 12134 Old Dayton Rd, Brookville, OH 45309 Phone: 937-416-8874
Salva Gracia Bernal Ahmed, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 950 Salem St, Brookville, OH 45309 Phone: 937-833-2149 Fax: 937-833-5359
Dr. Jeffrey Bruce Studebaker, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 98 Mosier Pkwy, Brookville, OH 45309 Phone: 937-833-4103 Fax: 937-833-3147
Andrew Diller, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 950 Salem St, Brookville, OH 45309 Phone: 937-833-4582 Fax: 937-833-5359

Nafisa Islam, MD - Medicare Family Medicine in Brookville, OH