Mr Mir Abdul Wadud, NP in Marietta, GA - Medicare Nurse Practitioner

Mr Mir Abdul Wadud, NP is a medicare enrolled "Nurse Practitioner - Family" in Marietta, Georgia. His current practice location is 1758 County Services Pkwy Sw, Marietta, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 794-4857.

Mr Mir Abdul Wadud is licensed to practice in Georgia (license number 210808) 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 1801164389.

Contact Information

	Mr Mir Abdul Wadud, NP
	1758 County Services Pkwy Sw, Marietta, GA 30008-4012
	(404) 794-4857
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Mir Abdul Wadud
Gender	Male
Speciality	Nurse Practitioner - Family
Location	1758 County Services Pkwy Sw, Marietta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801164389
Provider Enumeration Date: 12/12/2011
Last Update Date: 05/11/2020

Medicare PECOS Information:

PECOS PAC ID: 9830366277
Enrollment ID: I20210818002744

Medical Identifiers

Medical identifiers for Mr Mir Abdul Wadud such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801164389	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	210808 (Georgia)	Primary
363LF0000X	Nurse Practitioner - Family	RN250110 (North Carolina)	Secondary

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. Mr Mir Abdul Wadud allows following entities to bill medicare on his behalf.

Entity Name	Cobb County Community Services Board
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750442331 PECOS PAC ID: 7719875566 Enrollment ID: O20040304001136

Entity Name	Highland Rivers Community Service Board
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447256243 PECOS PAC ID: 9032000245 Enrollment ID: O20040324001204

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. Mr Mir Abdul Wadud 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
Mr Mir Abdul Wadud, NP 4031 Willowmere Trce Nw, Kennesaw, GA 30144-6182 Ph: (678) 446-1473	Mr Mir Abdul Wadud, NP 1758 County Services Pkwy Sw, Marietta, GA 30008-4012 Ph: (404) 794-4857

Reviews and Comments

Nurse Practitioner Nurses in Marietta, GA

Mrs. Jennifer Irene Sarno, ACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 780 Canton Rd Ne, Suite 400, Marietta, GA 30060 Phone: 770-422-3602
Stacey Glass Malstrom, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 Whitcher St Ne Ste 350, Marietta, GA 30060 Phone: 770-424-6893
Tanisha Leonard, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 Whitcher St Ne Ste 350, Marietta, GA 30060 Phone: 770-424-6893 Fax: 770-528-9938
Julie J Baute, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 780 Canton Rd Ne Ste 205, Marietta, GA 30060 Phone: 678-224-6198
Dr. Ibisa Comfort Onyirimba, DNP, FNP-C, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2481 Hurt Rd Sw, Marietta, GA 30008 Phone: 404-934-2420
Mrs. Susan Wanjiku Kamau, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1579 Sage Ridge Dr, Marietta, GA 30064 Phone: 404-643-0444
Ms. Trina Renee Cain, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 811 Kennesaw Ave Nw, Marietta, GA 30060 Phone: 678-458-5311

Mr Mir Abdul Wadud, NP - Medicare Nurse Practitioner in Marietta, GA