Farah Nida Imam, MD in Fontana, CA - Medicare Family Medicine

Farah Nida Imam, MD is a medicare enrolled "Family Medicine" physician in Fontana, California. Her current practice location is 16465 Sierra Lakes Pkwy Ste 115, Fontana, California. You can reach out to her office (for appointments etc.) via phone at (909) 823-8000.

Farah Nida Imam is licensed to practice in California (license number A132422) 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 1437414380.

Contact Information

	Farah Nida Imam, MD
	16465 Sierra Lakes Pkwy Ste 115, Fontana, CA 92336-1242
	(909) 823-8000
	(909) 823-8088

Map and Direction

Physician's Profile

Full Name	Farah Nida Imam
Gender	Female
Speciality	Family Medicine
Location	16465 Sierra Lakes Pkwy Ste 115, Fontana, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437414380
Provider Enumeration Date: 07/06/2012
Last Update Date: 07/22/2024

Medicare PECOS Information:

PECOS PAC ID: 8628358942
Enrollment ID: I20191104000662

Medical Identifiers

Medical identifiers for Farah Nida Imam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437414380	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A132422 (California)	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. Farah Nida Imam allows following entities to bill medicare on her behalf.

Entity Name	Namita Mohideen Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649546144 PECOS PAC ID: 1759785934 Enrollment ID: O20210810002801

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. Farah Nida Imam 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
Farah Nida Imam, MD 16465 Sierra Lakes Pkwy Ste 115, Fontana, CA 92336-1242 Ph: (909) 823-8000	Farah Nida Imam, MD 16465 Sierra Lakes Pkwy Ste 115, Fontana, CA 92336-1242 Ph: (909) 823-8000

Reviews and Comments

Family Medicine Doctors in Fontana, CA

Robert M. Theal, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
Todd A. Westra, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
Pushkar Chand, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-5000
Huy Phan, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-5000
William J. Delo, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
John R. Sharpe Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
Miguel Angel Martinez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16854 Ivy Ave Ste A, Fontana, CA 92335 Phone: 909-791-1000 Fax: 909-781-6000

Farah Nida Imam, MD - Medicare Family Medicine in Fontana, CA