Imtiaz Mohamed, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Hayward, Wisconsin. He graduated from medical school in 1989 and has 37 years of diverse experience with area of expertise as Emergency Medicine. His current practice location is
11040 N State Road 77, Hayward, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(715) 934-4321.
Imtiaz Mohamed is licensed to practice in Minnesota (license number 56386) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1396796884.
Physician's Profile
| Full Name | Imtiaz Mohamed |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Experience | 37 Years |
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| Location | 11040 N State Road 77, Hayward, Wisconsin |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Imtiaz Mohamed graduated from medical school in 1989
NPI Data:
- NPI Number: 1396796884
- Provider Enumeration Date: 05/12/2006
- Last Update Date: 06/12/2020
Medicare PECOS Information:
- PECOS PAC ID: 9739197534
- Enrollment ID: I20260505004327
Medical Identifiers
Medical identifiers for Imtiaz Mohamed such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396796884 | NPI | - | NPPES |
| 1396796884 | Medicaid | MI | |
| 1396796884 | Medicaid | WI | |
| 1396796884 | Medicaid | MN | |
| 32584300 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 41063 (Wisconsin) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | 56386 (Minnesota) | Primary |
Medical Facilities Affiliation
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. Imtiaz Mohamed 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 |
|---|
Imtiaz Mohamed, MD
11040 N State Road 77,
Hayward, WI 54843-3606
Ph: (715) 934-4321 | Imtiaz Mohamed, MD
11040 N State Road 77,
Hayward, WI 54843-3606
Ph: (715) 934-4321 |
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