Imran A Mirza, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Deptford, New Jersey. He graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Ultra Care Clinics Llc and his current practice location is
1132 Cooper St, Deptford, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(856) 848-8060.
Imran A Mirza is licensed to practice in Pennsylvania (license number MD431989) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1376573204.
Physician's Profile
| Full Name | Imran A Mirza |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 29 Years |
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| Location | 1132 Cooper St, Deptford, New Jersey |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Imran A Mirza graduated from medical school in 1995
NPI Data:
- NPI Number: 1376573204
- Provider Enumeration Date: 07/04/2006
- Last Update Date: 09/22/2014
Medicare PECOS Information:
- PECOS PAC ID: 1759474679
- Enrollment ID: I20080128000445
Medical Identifiers
Medical identifiers for Imran A Mirza such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376573204 | NPI | - | NPPES |
| 1019810230002 | Medicaid | PA | |
| 1019810230001 | Medicaid | PA | |
| 1980195 | Other | PA | BS HIGHMARK |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 25MA08024700 (New Jersey) | Secondary |
| 207RC0200X | Internal Medicine - Critical Care Medicine | MD431989 (Pennsylvania) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | 25MA08024700 (New Jersey) | Secondary |
Medical Facilities Affiliation
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. Imran A Mirza allows following entities to bill medicare on his behalf.
| Entity Name | Cmc Department Of Medicine Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679605554
PECOS PAC ID: 2163335878
Enrollment ID: O20050203000280 |
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| Entity Name | Ultra Care Clinics Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285034108
PECOS PAC ID: 4284957069
Enrollment ID: O20141231001130 |
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| Entity Name | Deptford Internal Medicine Associates Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346725561
PECOS PAC ID: 1254685142
Enrollment ID: O20181113000023 |
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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. Imran A 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 |
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Imran A Mirza, MD
Po Box 69,
Mickleton, NJ 08056-0069
Ph: (856) 381-9598 | Imran A Mirza, MD
1132 Cooper St,
Deptford, NJ 08096-3014
Ph: (856) 848-8060 |
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