Ismail Akhmadovich Temirov, is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Tipp City, Ohio. His current practice location is
2762 Blueflag St, Tipp City, Ohio. You can reach out to his office (for appointments etc.) via phone at
(720) 250-6494.
Ismail Akhmadovich Temirov is licensed to practice in * (Not Available) (license number ) 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 1902680937.
Provider's Profile
| Full Name | Ismail Akhmadovich Temirov |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 2762 Blueflag St, Tipp City, Ohio |
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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: 1902680937
- Provider Enumeration Date: 08/21/2023
- Last Update Date: 08/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 8426407859
- Enrollment ID: I20231211003474
Medical Identifiers
Medical identifiers for Ismail Akhmadovich Temirov such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902680937 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Ismail Akhmadovich Temirov 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 |
|---|
Ismail Akhmadovich Temirov,
2762 Blueflag St,
Tipp City, OH 45371-2583
Ph: (720) 250-6494 | Ismail Akhmadovich Temirov,
2762 Blueflag St,
Tipp City, OH 45371-2583
Ph: (720) 250-6494 |
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