Ruth E Mirza, NP in Grand Rapids, MI - Medicare Nurse Practitioner

Ruth E Mirza, NP is a medicare enrolled "Nurse Practitioner - Family" in Grand Rapids, Michigan. She graduated from nursing school in 1997 and has 27 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Endeavor Health Medical Group and her current practice location is 200 Jefferson Ave Se, St. Mary's Preadmission Testing, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 752-6706.

Ruth E Mirza is licensed to practice in Michigan (license number 4704183561) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1992845747.

Contact Information

	Ruth E Mirza, NP
	200 Jefferson Ave Se, St. Mary's Preadmission Testing, Grand Rapids, MI 49503-4502
	(616) 752-6706
	(616) 752-6610

Map and Direction

Provider's Profile

Full Name	Ruth E Mirza
Gender	Female
Speciality	Nurse Practitioner
Experience	27 Years
Location	200 Jefferson Ave Se, Grand Rapids, Michigan
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ruth E Mirza graduated from nursing school in 1997

NPI Data:

NPI Number: 1992845747
Provider Enumeration Date: 02/08/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8224097274
Enrollment ID: I20150513000815

Medical Identifiers

Medical identifiers for Ruth E Mirza such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992845747	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	4704183561 (Michigan)	Primary
363LF0000X	Nurse Practitioner - Family	4704183561 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Elmhurst Memorial Hospital	Elmhurst, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Endeavor Health Medical Group	2163334699	2710

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. Ruth E Mirza allows following entities to bill medicare on her behalf.

Entity Name	Edward Health Ventures
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962452912 PECOS PAC ID: 4284531484 Enrollment ID: O20031216000616

Entity Name	Northshore University Healthsystem Faculty Practice Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118

Entity Name	Premise Health Of Illinois Medical, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427366921 PECOS PAC ID: 3971764762 Enrollment ID: O20120423000619

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. Ruth E Mirza 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
Ruth E Mirza, NP 7841 Lionel Dr Sw, Byron Center, MI 49315-8485 Ph: (616) 878-1871	Ruth E Mirza, NP 200 Jefferson Ave Se, St. Mary's Preadmission Testing, Grand Rapids, MI 49503-4502 Ph: (616) 752-6706

Reviews and Comments

Nurse Practitioner Nurses in Grand Rapids, MI

Paul Dieleman, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1131 Ionia Ave Nw, Grand Rapids, MI 49503 Phone: 616-259-7900 Fax: 616-259-7909
Dr. Katherine Pruss, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3201 Burton St Se, Sb 260, Grand Rapids, MI 49546 Phone: 616-526-6808
Vanessa Rae Smitko, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2770 E Beltline Ave Ne, Grand Rapids, MI 49525 Phone: 616-267-8860
Khira Lauren Benson, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25 Michigan St Ne Ste 4200, Grand Rapids, MI 49503 Phone: 616-267-9150
Cassandra Cummings, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503 Phone: 616-486-6790
Anne Therese Beauchamp, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1055 Medical Park Dr Se, Grand Rapids, MI 49546 Phone: 616-942-9610
Mary Barr, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4100 Lake Dr Se Ste 200, Grand Rapids, MI 49546 Phone: 616-391-3759

Ruth E Mirza, NP - Medicare Nurse Practitioner in Grand Rapids, MI