Ahmad Mohammad Ahmad, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Worth, Illinois. His current practice location is
7010 W 115th Pl, Worth, Illinois. You can reach out to his office (for appointments etc.) via phone at
(708) 890-2829.
Ahmad Mohammad Ahmad is licensed to practice in Illinois (license number 041.461634) 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 1144949678.
Provider's Profile
Full Name | Ahmad Mohammad Ahmad |
---|
Gender | Male |
---|
Speciality | Nurse Anesthetist, Certified Registered |
---|
Location | 7010 W 115th Pl, Worth, Illinois |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1144949678
- Provider Enumeration Date: 08/26/2022
- Last Update Date: 10/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 2668904343
- Enrollment ID: I20241018002697
Medical Identifiers
Medical identifiers for Ahmad Mohammad Ahmad such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144949678 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 041.461634 (Illinois) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 041.461634 (Illinois) | 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. Ahmad Mohammad Ahmad allows following entities to bill medicare on his behalf.
Entity Name | Northstar Anesthesia Of Illinois, Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1962822395 PECOS PAC ID: 4688893878 Enrollment ID: O20140922000405 |
---|
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. Ahmad Mohammad Ahmad 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 |
Ahmad Mohammad Ahmad, 7010 W 115th Pl, Worth, IL 60482-2351 Ph: (708) 890-2829 | Ahmad Mohammad Ahmad, 7010 W 115th Pl, Worth, IL 60482-2351 Ph: (708) 890-2829 |
Reviews and Comments