Samina Yasmin Mirza, MD - Medicare Psychiatry & Neurology in Brooklyn, NY

Samina Yasmin Mirza, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Brooklyn, New York. Her current practice location is 451 Clarkson Ave, A Building Room # 1218, Brooklyn, New York. You can reach out to her office (for appointments etc.) via phone at (718) 245-2507.

Samina Yasmin Mirza is licensed to practice in New York (license number 280418) 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 1154689594.

Contact Information

Samina Yasmin Mirza, MD
451 Clarkson Ave, A Building Room # 1218,
Brooklyn, NY 11203-2054
(718) 245-2507
Not Available

Map and Direction




Physician's Profile

Full NameSamina Yasmin Mirza
GenderFemale
SpecialityPsychiatry & Neurology - Psychiatry
Location451 Clarkson Ave, Brooklyn, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154689594
  • Provider Enumeration Date: 04/23/2012
  • Last Update Date: 06/27/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 1052605953
  • Enrollment ID: I20160815001980

Medical Identifiers

Medical identifiers for Samina Yasmin Mirza such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154689594NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 25MA09729200 (New Jersey)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 280418 (New York)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. Samina Yasmin Mirza allows following entities to bill medicare on her behalf.
Entity NameHudson Co Board Of Chosen Freehold Admin
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053470047
PECOS PAC ID: 7810081288
Enrollment ID: O20070915000213
Entity NameGarden State Healthcare Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700014545
PECOS PAC ID: 8426190687
Enrollment ID: O20100126000693

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. Samina Yasmin Mirza 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 AddressPractice Location Address
Samina Yasmin Mirza, MD
451 Clarkson Ave, A Building, Room #1218,
Brooklyn, NY 11203-2054

Ph: (718) 245-2507
Samina Yasmin Mirza, MD
451 Clarkson Ave, A Building Room # 1218,
Brooklyn, NY 11203-2054

Ph: (718) 245-2507

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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