Dr Ibrahim H Amjad, MD is a medicare enrolled "Plastic Surgery" physician in West Miami, Florida. His current practice location is
1100 Sw 57th Ave, Penthouse #1, West Miami, Florida. You can reach out to his office (for appointments etc.) via phone at
(305) 267-8885.
Dr Ibrahim H Amjad is licensed to practice in Florida (license number ME70663) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1477551455.
Physician's Profile
| Full Name | Dr Ibrahim H Amjad |
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| Gender | Male |
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| Speciality | Plastic Surgery |
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| Location | 1100 Sw 57th Ave, West Miami, Florida |
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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: 1477551455
- Provider Enumeration Date: 07/13/2005
- Last Update Date: 10/16/2008
Medicare PECOS Information:
- PECOS PAC ID: 4880879733
- Enrollment ID: I20110504000441
Medical Identifiers
Medical identifiers for Dr Ibrahim H Amjad such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477551455 | NPI | - | NPPES |
| 264381200 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208200000X | Plastic Surgery | ME70663 (Florida) | 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. Dr Ibrahim H Amjad allows following entities to bill medicare on his behalf.
| Entity Name | Ibrahim H. Amjad, Md, Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821271982
PECOS PAC ID: 9537344486
Enrollment ID: O20110419000958 |
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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. Dr Ibrahim H Amjad 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 |
|---|
Dr Ibrahim H Amjad, MD
Po Box 558568,
Miami, FL 33255-8568
Ph: (305) 267-8885 | Dr Ibrahim H Amjad, MD
1100 Sw 57th Ave, Penthouse #1,
West Miami, FL 33144-5122
Ph: (305) 267-8885 |
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