Mariam C Ajmal, FNP - Medicare Nurse Practitioner in San Diego, CA

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Mariam C Ajmal, FNP is a medicare enrolled "Nurse Practitioner - Family" in San Diego, California. Her current practice location is 9663 Tierra Grande St Ste 101, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (858) 547-0077.

Mariam C Ajmal is licensed to practice in California (license number 95017543) 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 1104585090.

Contact Information

Mariam C Ajmal, FNP
9663 Tierra Grande St Ste 101,
San Diego, CA 92126-4569
(858) 547-0077
Not Available

Map and Direction




Provider's Profile

Full NameMariam C Ajmal
GenderFemale
SpecialityNurse Practitioner - Family
Location9663 Tierra Grande St Ste 101, San Diego, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104585090
  • Provider Enumeration Date: 12/08/2021
  • Last Update Date: 12/08/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7719349646
  • Enrollment ID: I20230809003012

Medical Identifiers

Medical identifiers for Mariam C Ajmal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104585090NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 95017543 (California)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. Mariam C Ajmal allows following entities to bill medicare on her behalf.
Entity NameSenior Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629253505
PECOS PAC ID: 0446339469
Enrollment ID: O20080501000744
Entity NameCalifornia Care Wellness Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447874516
PECOS PAC ID: 2264856236
Enrollment ID: O20200723000732
Entity NameMyndfull Care Management California Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770206435
PECOS PAC ID: 4981070893
Enrollment ID: O20221018002310
Entity NameGeri Connection
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447976907
PECOS PAC ID: 0446629059
Enrollment ID: O20221202001861
Entity NameMyndfull Care California Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912699703
PECOS PAC ID: 1557717238
Enrollment ID: O20231101001710

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. Mariam C Ajmal 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
Mariam C Ajmal, FNP
17015 Bernardo Center Dr Apt A,
San Diego, CA 92128-2593

Ph: (818) 536-3573		Mariam C Ajmal, FNP
9663 Tierra Grande St Ste 101,
San Diego, CA 92126-4569

Ph: (858) 547-0077

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.