Dr Niki Mirzaei, OD is a medicare enrolled "Optometrist" physician in Holmdel, New Jersey. Her current practice location is 
2101 Nj-35, Holmdel, New Jersey. You can reach out to her office (for appointments etc.) via phone at 
(732) 639-6719.
Dr Niki Mirzaei is licensed to practice in New Jersey (license number 27OA00688200) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1942862248.
			
			
			
			
			
		 
		
		 
Physician's Profile
		
			
			
			| Full Name | Dr Niki Mirzaei | 
|---|
| Gender | Female | 
|---|
| Speciality | Optometrist | 
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| Location | 2101 Nj-35, Holmdel, New Jersey | 
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1942862248
- Provider Enumeration Date: 07/08/2019
- Last Update Date: 09/16/2019
  Medicare PECOS Information:
- PECOS PAC ID: 3779924220
- Enrollment ID: I20240515000436
 
		 
		 
Medical Identifiers
		Medical identifiers for Dr Niki Mirzaei such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1942862248 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 207W00000X | Ophthalmology | 27OA00688200 (New Jersey) | Secondary | 
| 152W00000X | Optometrist | 27OA00688200 (New Jersey) | 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 Niki Mirzaei allows following entities to bill medicare on her behalf.
| Entity Name | Icahn School Of Medicine At Mount Sinai | 
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| Entity Type | Part B Supplier - Clinic/group Practice | 
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| Entity Identifiers | NPI Number: 1437421252 PECOS PAC ID: 2264691070
 Enrollment ID: O20120806000195
 | 
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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 Niki Mirzaei 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 Niki Mirzaei, OD 2101 Nj-35,
 Holmdel, NJ 07733
 Ph: (732) 639-6719
 | Dr Niki Mirzaei, OD 2101 Nj-35,
 Holmdel, NJ 07733
 Ph: (732) 639-6719
 | 
		
		 
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