T Ahmad Md Sc is a medicare enrolled primary clinic (Internal Medicine) in Marengo, Illinois. The current practice location for T Ahmad Md Sc is 21807 W Grant Hwy, Marengo, Illinois. For appointments, you can reach them via phone at
(815) 568-1074. The mailing address for T Ahmad Md Sc is Po Box 1527, Woodstock, Illinois and phone number is (847) 338-1477.
T Ahmad Md Sc is licensed to practice in Illinois (license number 036072630). The clinic also participates in the medicare program and its
NPI number is 1790078111. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(815) 568-1074.
Primary Care Clinic Profile
| Full Name | T Ahmad Md Sc |
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| Speciality | Internal Medicine |
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| Location | 21807 W Grant Hwy, Marengo, Illinois |
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| Authorized Official Name and Position | Tanveer Ahmad (OWNER) |
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| Authorized Official Contact | 8157039124 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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T Ahmad Md Sc
Po Box 1527
Woodstock
IL 60098-1527
Ph: (847) 338-1477 | T Ahmad Md Sc
21807 W Grant Hwy
Marengo
IL 60152-2944
Ph: (815) 568-1074 |
NPI Details:
| NPI Number | 1790078111 |
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| Provider Enumeration Date | 05/18/2011 |
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| Last Update Date | 12/14/2011 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 5294906624 |
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| Medicare Enrollment ID | O20110915000464 |
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Medical Identifiers
Medical identifiers for T Ahmad Md Sc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1790078111 | NPI | - | NPPES |
| 036072630 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 036072630 (Illinois) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
T Ahmad Md Sc acts as a billing entity for following providers:
| Provider Name | Tanveer Ahmad |
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| Provider Type | Practitioner - Internal Medicine |
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| Provider Identifiers | NPI Number: 1093811374
PECOS PAC ID: 5395646640
Enrollment ID: I20040119000623 |
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