Noorulain Imtiaz, is a medicare enrolled "Occupational Therapist" provider in Bernardsville, New Jersey. Her current practice location is
150 Morristown Rd Ste 110, Bernardsville, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(631) 359-5859.
Noorulain Imtiaz is licensed to practice in * (Not Available) (license number ) 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 1023790177.
Healthcare Provider's Profile
| Full Name | Noorulain Imtiaz |
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| Gender | Female |
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| Speciality | Occupational Therapist |
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| Location | 150 Morristown Rd Ste 110, Bernardsville, New Jersey |
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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: 1023790177
- Provider Enumeration Date: 08/07/2023
- Last Update Date: 08/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 9133574916
- Enrollment ID: I20231013002832
Medical Identifiers
Medical identifiers for Noorulain Imtiaz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1023790177 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | (* (Not Available)) | 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. Noorulain Imtiaz allows following entities to bill medicare on her behalf.
| Provider Name | Professional Occupational & Physical Therapy Pllc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1215487772
PECOS PAC ID: 3779873401
Enrollment ID: O20170118000654 |
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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. Noorulain Imtiaz 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 |
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Noorulain Imtiaz,
576 Broadhollow Rd,
Melville, NY 11747-5002
Ph: (631) 359-5800 | Noorulain Imtiaz,
150 Morristown Rd Ste 110,
Bernardsville, NJ 07924-2626
Ph: (631) 359-5859 |
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