Ambir Rauf Mirza, MD in Fort Worth, TX - Medicare Internal Medicine

Ambir Rauf Mirza, MD is a medicare enrolled "Internal Medicine" physician in Fort Worth, Texas. She graduated from medical school in 1997 and has 29 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Lubbock County Hospital District and her current practice location is 1301 Pennsylvania Ave, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 820-4906.

Ambir Rauf Mirza is licensed to practice in Texas (license number L7468) 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 1114008547.

Contact Information

	Ambir Rauf Mirza, MD
	1301 Pennsylvania Ave, Fort Worth, TX 76104
	(817) 820-4906
	Not Available

Map and Direction

Physician's Profile

Full Name	Ambir Rauf Mirza
Gender	Female
Speciality	Internal Medicine
Experience	29 Years
Location	1301 Pennsylvania Ave, Fort Worth, Texas
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:

Ambir Rauf Mirza graduated from medical school in 1997

NPI Data:

NPI Number: 1114008547
Provider Enumeration Date: 10/19/2006
Last Update Date: 08/22/2018

Medicare PECOS Information:

PECOS PAC ID: 0143111682
Enrollment ID: I20040323001302

Medical Identifiers

Medical identifiers for Ambir Rauf Mirza such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114008547	NPI	-	NPPES
163419801	Medicaid	TX
8H3654	Other	TX	BLUE CROSS & BLUE SHIELD
P00328249	Other	TX	RAIL ROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	L7468 (Texas)	Secondary
207R00000X	Internal Medicine	L7468 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Medical Center	Lubbock, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lubbock County Hospital District	6709028954	44

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. Ambir Rauf Mirza allows following entities to bill medicare on her behalf.

Entity Name	Hospitalist Medicine Physicians Of Texas Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629307095 PECOS PAC ID: 3476688318 Enrollment ID: O20100317001021

Entity Name	Lonestar Hospital Medicine Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518237429 PECOS PAC ID: 6709049703 Enrollment ID: O20120530000620

Entity Name	Lubbock County Hospital District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487993630 PECOS PAC ID: 6709028954 Enrollment ID: O20130819000007

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. Ambir Rauf 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
Ambir Rauf Mirza, MD Po Box 8747, Fort Worth, TX 76124-0747 Ph: (817) 451-4208	Ambir Rauf Mirza, MD 1301 Pennsylvania Ave, Fort Worth, TX 76104 Ph: (817) 820-4906

Reviews and Comments

Internal Medicine Doctors in Fort Worth, TX

Gayane Tumyan, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 600 S Main St, Fort Worth, TX 76104 Phone: 817-882-2420
Charles A Carlton, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1622 8th Avenue, Suite 110, Fort Worth, TX 76104 Phone: 817-926-2561 Fax: 817-921-3708
Paul J Garcia, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5701 Bryant Irvin Rd, Suite 302, Fort Worth, TX 76132 Phone: 817-294-9000 Fax: 817-294-9010
Stevan A Gonzalez, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1250 8th Ave, Suite 515, Fort Worth, TX 76104 Phone: 817-922-4675 Fax: 817-922-4645
Christian Nguyen, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1300 W Terrell Ave Ste K230, Fort Worth, TX 76104 Phone: 817-250-4906 Fax: 817-250-1815
Elie B Choufani, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 W Terrell Ave, Fort Worth, TX 76104 Phone: 817-852-8305
Syed Hadi Jafri, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 W Terrell Ave Fl 2, Fort Worth, TX 76104 Phone: 817-820-4906 Fax: 817-820-4815

Ambir Rauf Mirza, MD - Medicare Internal Medicine in Fort Worth, TX