Mansoor Hussain Mirza, MD in Sheboygan, WI - Medicare Internal Medicine

Mansoor Hussain Mirza, MD is a medicare enrolled "Internal Medicine" physician in Sheboygan, Wisconsin. He graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Impact Physician Group, Wisconsin Llc, Aurora Medical Group, Inc. and his current practice location is 2414 Kohler Memorial Drive, Sheboygan, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 457-4461.

Mansoor Hussain Mirza is licensed to practice in Wisconsin (license number 48060) 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 1508974502.

Contact Information

	Mansoor Hussain Mirza, MD
	2414 Kohler Memorial Drive, Sheboygan, WI 53081-3129
	(920) 457-4461
	(920) 459-1483

Map and Direction

Physician's Profile

Full Name	Mansoor Hussain Mirza
Gender	Male
Speciality	Internal Medicine
Experience	27 Years
Location	2414 Kohler Memorial Drive, Sheboygan, Wisconsin
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mansoor Hussain Mirza graduated from medical school in 1997

NPI Data:

NPI Number: 1508974502
Provider Enumeration Date: 08/29/2006
Last Update Date: 03/20/2024

Medicare PECOS Information:

PECOS PAC ID: 3072549021
Enrollment ID: I20050712000423

Medical Identifiers

Medical identifiers for Mansoor Hussain Mirza such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508974502	NPI	-	NPPES
P00138179	Other	WI	NETWORK HEALTH PLAN
P00252461	Other	WV	RAILROAD MEDICARE
132679	Other	WI	CIGNA
390806395002	Other	WI	TRICARE
34652100	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	48060 (Wisconsin)	Primary
208M00000X	Hospitalist	48060 (Wisconsin)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
West Allis Memorial Hospital	West allis, WI	Hospital
Aurora Sheboygan Memorial Medical Ctr	Sheboygan, WI	Hospital
Aurora Medical Ctr Manitowoc County	Two rivers, WI	Hospital
Waukesha Memorial Hospital	Waukesha, WI	Hospital
Aurora St Lukes Medical Center	Milwaukee, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Impact Physician Group, Wisconsin Llc	2466840004	6
Aurora Medical Group, Inc.	6709794258	3207

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. Mansoor Hussain Mirza allows following entities to bill medicare on his behalf.

Entity Name	Aurora Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725

Entity Name	Impact Physician Group, Wisconsin Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174291025 PECOS PAC ID: 2466840004 Enrollment ID: O20211101000625

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. Mansoor Hussain 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
Mansoor Hussain Mirza, MD 3600 Route 66 Fl 3, Neptune, NJ 07753-2645 Ph: (732) 807-0877	Mansoor Hussain Mirza, MD 2414 Kohler Memorial Drive, Sheboygan, WI 53081-3129 Ph: (920) 457-4461

Reviews and Comments

Internal Medicine Doctors in Sheboygan, WI

Gurminder Dhillon, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3100 Superior Ave, Sheboygan, WI 53081 Phone: 920-496-4700 Fax: 816-404-0003
Dr. Philip M. Detrana, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461
Dr. Louie Coulis, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1414 N Taylor Dr, Sheboygan, WI 53081 Phone: 920-458-9800 Fax: 920-458-9882
Mr. Vinicius Klee Lopes, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461
Sree Ramya Punukollu, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3400 Union Ave, Sheboygan, WI 53081 Phone: 920-802-2100
Dr. Rachael Bree Hosein, MBBS Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461
Curtis Wayne Hancock, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3431 N 13th St, Sheboygan, WI 53083 Phone: 414-359-4979 Fax: 414-328-4494

Mansoor Hussain Mirza, MD - Medicare Internal Medicine in Sheboygan, WI