| Dr Mahjabeen Islam, MD | |
|
959 Illinois Ave Ste E, Maumee, OH 43537-1744 | |
| (419) 872-0500 | |
| (419) 874-4650 |
| Full Name | Dr Mahjabeen Islam |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 43 Years |
| Location | 959 Illinois Ave Ste E, Maumee, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770606063 | NPI | - | NPPES |
| 0696591 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0401X | Family Medicine - Addiction Medicine | OH053406 (Ohio) | Secondary |
| 207Q00000X | Family Medicine | 35.053406 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy St Vincent Medical Center | Toledo, OH | Hospital |
| Promedica Toledo Hospital | Toledo, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Talbot Clinical Services Of Ohio Llc | 9032422860 | 10 |
| Entity Name | Talbot Clinical Services Of Ohio Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245635549 PECOS PAC ID: 9032422860 Enrollment ID: O20150722004310 |
| Entity Name | Talbot Clinical Services Of Ohio Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053902007 PECOS PAC ID: 9032422860 Enrollment ID: O20220224001104 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mahjabeen Islam, MD 959 Illinois Ave Ste E, Maumee, OH 43537-1744 Ph: (419) 872-0500 | Dr Mahjabeen Islam, MD 959 Illinois Ave Ste E, Maumee, OH 43537-1744 Ph: (419) 872-0500 |
Bradley Paul Everly, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1900 Indian Wood Cir Ste 202b, Maumee, OH 43537 Phone: 419-578-8594 Fax: 855-618-2622 | |
Kyle Anthony Keller, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1657 Holland Rd Ste A, Maumee, OH 43537 Phone: 419-794-2180 Fax: 419-794-2180 | |
Shalini Singh, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5757 Monclova Rd, Suite 11, Maumee, OH 43537 Phone: 419-887-8780 Fax: 419-887-8781 | |
Dr. Lee Klopfenstein, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1715 Indian Wood Cir Ste Office, Maumee, OH 43537 Phone: 419-578-8594 | |
Russell Jay Graff, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5901 Monclova Rd, Maumee, OH 43537 Phone: 419-893-5968 | |
Dr. Eva H. Bernblum, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 120 W Dudley St, Maumee, OH 43537 Phone: 419-893-1971 Fax: 419-893-2321 | |
Dr. Travis E. Rasor, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5705 Monclova Rd, Maumee, OH 43537 Phone: 419-893-3321 Fax: 419-897-1316 |