Dr Nuzhat Nisar, MD - Medicare Pediatrics in O Fallon, MO

Dr Nuzhat Nisar, MD is a medicare enrolled "Pediatrics" physician in O Fallon, Missouri. Her current practice location is 2954 Highway K, O Fallon, Missouri. You can reach out to her office (for appointments etc.) via phone at (636) 978-1772.

Dr Nuzhat Nisar is licensed to practice in Missouri (license number 105226) 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 1790730554.

Contact Information

Dr Nuzhat Nisar, MD
2954 Highway K,
O Fallon, MO 63368-7861
(636) 978-1772
(636) 978-2589

Map and Direction




Physician's Profile

Full NameDr Nuzhat Nisar
GenderFemale
SpecialityPediatrics
Location2954 Highway K, O Fallon, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1790730554
  • Provider Enumeration Date: 05/23/2006
  • Last Update Date: 07/10/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 7416245089
  • Enrollment ID: I20161013002502

Medical Identifiers

Medical identifiers for Dr Nuzhat Nisar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790730554NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 105226 (Missouri)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 Nuzhat Nisar allows following entities to bill medicare on her behalf.
Entity NameSsm Health Care St Louis
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275586174
PECOS PAC ID: 7810800737
Enrollment ID: O20031118000393
Entity NameHinton Healthcare Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760626147
PECOS PAC ID: 8123178753
Enrollment ID: O20090602000628

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 Nuzhat Nisar 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 AddressPractice Location Address
Dr Nuzhat Nisar, MD
2954 Highway K,
O Fallon, MO 63368-7861

Ph: (636) 978-1772
Dr Nuzhat Nisar, MD
2954 Highway K,
O Fallon, MO 63368-7861

Ph: (636) 978-1772

Reviews and Comments


Pediatrics Doctors in O Fallon, MO

Dr. Cecilia H Yu, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 20 Progress Point Pkwy, Ste 22, O Fallon, MO 63368
Phone: 636-344-3333    Fax: 636-344-3334
Kimberly N Hackney, D.O.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 300 Winding Woods Dr Ste 120, O Fallon, MO 63366
Phone: 636-978-7902    
Dr. Yasangi Marina Jayasinha, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1001 Highway K, Suite 4, O Fallon, MO 63366
Phone: 636-240-9896    
Dr. John A Myers, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 20 Progress Point Pkwy, Ste 22, O Fallon, MO 63368
Phone: 636-344-3333    Fax: 636-344-3334
Dr. Trina J Blythe, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 20 Progress Point Pkwy Ste 100, O Fallon, MO 63368
Phone: 636-344-2213    
Dr. Phillip D Reichert, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 20 Progress Point Pkwy, Ste 22, O Fallon, MO 63368
Phone: 636-344-3333    Fax: 636-344-3334
Melissa Roewe, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 9979 Winghaven Blvd Ste 206, O Fallon, MO 63368
Phone: 636-561-5291    Fax: 636-561-5290

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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