Shamim Islam, MD in Waterford, MI

Shamim Islam, MD is a medicare enrolled "Pediatrics" physician in Waterford, Michigan. Her current practice location is 4186 Pontiac Lake Rd, Waterford, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 674-7337.

Shamim Islam is licensed to practice in Michigan (license number SI075290) 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 1730187592.

Contact Information

	Shamim Islam, MD
	4186 Pontiac Lake Rd, Waterford, MI 48328-1258
	(248) 674-7337
	(248) 674-7335

Map and Direction

Physician's Profile

Full Name	Shamim Islam
Gender	Female
Speciality	Pediatrics
Location	4186 Pontiac Lake Rd, Waterford, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730187592
Provider Enumeration Date: 07/14/2005
Last Update Date: 08/14/2013

Medicare PECOS Information:

PECOS PAC ID: 4486747409
Enrollment ID: I20070907000321

Medical Identifiers

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

Identifier	Type	State	Issuer
1730187592	NPI	-	NPPES
4177672	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	SI075290 (Michigan)	Primary

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. Shamim 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
Shamim Islam, MD 4186 Pontiac Lake Rd, Waterford, MI 48328-1258 Ph: (248) 674-7337	Shamim Islam, MD 4186 Pontiac Lake Rd, Waterford, MI 48328-1258 Ph: (248) 674-7337

Reviews and Comments

Pediatrics Doctors in Waterford, MI

Marie Ann Mcdonald, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2561 Elizabeth Lake Rd, Waterford, MI 48328 Phone: 248-682-3300 Fax: 248-682-0026
Pankajini N Doshi, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4299 Roseberry Ct, Waterford, MI 48329 Phone: 248-674-0401 Fax: 248-674-8468
Lynn M Alling-jones, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2561 Elizabeth Lake Rd, Waterford, MI 48328 Phone: 248-682-3300 Fax: 248-682-0026
Devyani S Khambete, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2561 Elizabeth Lake Rd, Waterford, MI 48328 Phone: 248-682-3300 Fax: 248-682-0026
Mirza Asif Baig, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4210 Pontiac Lake Road, Waterford Peds, Waterford, MI 48328 Phone: 248-673-1520 Fax: 248-673-1017
Miss Leslie A Caren, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4400 Highland Rd, Waterford, MI 48328 Phone: 248-618-6000 Fax: 248-618-6951

Shamim Islam, MD - Medicare Pediatrics in Waterford, MI