Ummul Wara Masud,, MD is a medicare enrolled "Internal Medicine" physician in Ilion, New York. Her current practice location is
99 6th Ave, Ilion, New York. You can reach out to her office (for appointments etc.) via phone at
(315) 895-4050.
Ummul Wara Masud is licensed to practice in New York (license number P122086) 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 1376222968.
Physician's Profile
| Full Name | Ummul Wara Masud |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Location | 99 6th Ave, Ilion, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1376222968
- Provider Enumeration Date: 07/12/2023
- Last Update Date: 08/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 0840642476
- Enrollment ID: I20240119001339
Medical Identifiers
Medical identifiers for Ummul Wara Masud such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1376222968 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | P122086 (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. Ummul Wara Masud allows following entities to bill medicare on her behalf.
| Entity Name | Nys Medical Associate Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104268572
PECOS PAC ID: 8022243492
Enrollment ID: O20131021001887 |
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| Entity Name | Mill Basin Medical Health Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346006202
PECOS PAC ID: 9133566128
Enrollment ID: O20240326003311 |
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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. Ummul Wara Masud 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 |
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Ummul Wara Masud,, MD
600 Barwood Park,
Austin, TX 78753-6476
Ph: (208) 760-2397 | Ummul Wara Masud,, MD
99 6th Ave,
Ilion, NY 13357-1527
Ph: (315) 895-4050 |
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