Mariam Feroza Ejaz, MD in Trinity, FL

Mariam Feroza Ejaz, MD is a medicare enrolled "Pediatrics" physician in Trinity, Florida. Her current practice location is 1812 Health Care Dr, Trinity, Florida. You can reach out to her office (for appointments etc.) via phone at (813) 731-0944.

Mariam Feroza Ejaz is licensed to practice in Florida (license number ME134156) 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 1821012121.

Contact Information

	Mariam Feroza Ejaz, MD
	1812 Health Care Dr, Trinity, FL 34655-5362
	(813) 731-0944
	(727) 372-3301

Map and Direction

Physician's Profile

Full Name	Mariam Feroza Ejaz
Gender	Female
Speciality	Pediatrics
Location	1812 Health Care Dr, Trinity, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821012121
Provider Enumeration Date: 07/27/2006
Last Update Date: 06/10/2021

Medicare PECOS Information:

PECOS PAC ID: 2668471202
Enrollment ID: I20160823001433

Medical Identifiers

Medical identifiers for Mariam Feroza Ejaz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821012121	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	240023 (New York)	Secondary
208000000X	Pediatrics	ME134156 (Florida)	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. Mariam Feroza Ejaz allows following entities to bill medicare on her behalf.

Entity Name	Sun River Health Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568526838 PECOS PAC ID: 6608783568 Enrollment ID: O20040714000375

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. Mariam Feroza Ejaz 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
Mariam Feroza Ejaz, MD 4033 Tampa Rd, Oldsmar, FL 34677-3224 Ph: (813) 854-2003	Mariam Feroza Ejaz, MD 1812 Health Care Dr, Trinity, FL 34655-5362 Ph: (813) 731-0944

Reviews and Comments

Pediatrics Doctors in Trinity, FL

Taylor Alberdi Bradley, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10537 State Road 54, Trinity, FL 34655 Phone: 727-376-8404
Dr. Ramu Srinivas Jonnalagadda, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 10710 Fl-54, Trinity, FL 34655 Phone: 727-376-4040
Dr. Christopher Smith, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2137 Little Rd, Trinity, FL 34655 Phone: 727-372-6760 Fax: 727-372-6808
Dr. Mina Ekladios, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 10710 State Road 54 Ste 108, Trinity, FL 34655 Phone: 727-376-4040 Fax: 727-376-8824
Dr. Michael Couzens Jordan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2137 Little Rd, Trinity, FL 34655 Phone: 727-372-6760 Fax: 727-372-6808
Graciela F Egli, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10710 State Road 54 Ste 108, Trinity, FL 34655 Phone: 727-376-4040 Fax: 727-376-8824
Cary A Aungst, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2137 Little Rd, Trinity, FL 34655 Phone: 727-372-6760

Mariam Feroza Ejaz, MD - Medicare Pediatrics in Trinity, FL