Justin Bruno Mirza, DO is a medicare enrolled "Orthopaedic Surgery" physician in Far Rockaway, New York. He went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 2009 and has 15 years of diverse experience with area of expertise as Orthopedic Surgery. His current practice location is
51-15 Beach Channel Drive, Peninsula Hospital Center, Far Rockaway, New York. You can reach out to his office (for appointments etc.) via phone at
(718) 734-3020.
Justin Bruno Mirza is licensed to practice in New York (license number 258198) 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 1356648570.
Physician's Profile
| Full Name | Justin Bruno Mirza |
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| Gender | Male |
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| Speciality | Orthopedic Surgery |
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| Experience | 15 Years |
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| Location | 51-15 Beach Channel Drive, Far Rockaway, New York |
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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:
- Justin Bruno Mirza attended and graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 2009
NPI Data:
- NPI Number: 1356648570
- Provider Enumeration Date: 02/24/2011
- Last Update Date: 02/24/2011
Medicare PECOS Information:
- PECOS PAC ID: 3476868563
- Enrollment ID: I20150819006655
Medical Identifiers
Medical identifiers for Justin Bruno Mirza such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356648570 | NPI | - | NPPES |
| 258198 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207X00000X | Orthopaedic Surgery | 258198 (New York) | 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. Justin Bruno Mirza allows following entities to bill medicare on his behalf.
| Entity Name | Justin Mirza Do Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508252321
PECOS PAC ID: 5597070680
Enrollment ID: O20150819006550 |
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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. Justin Bruno Mirza 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 |
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Justin Bruno Mirza, DO
51-15 Beach Channel Drive, Peinisula Hospital Center,
Far Rockaway, NY 11691
Ph: () - | Justin Bruno Mirza, DO
51-15 Beach Channel Drive, Peninsula Hospital Center,
Far Rockaway, NY 11691
Ph: (718) 734-3020 |
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