Mashhud M Mirza, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Marion, Arkansas. He graduated from medical school in 1990 and has 36 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Mid-south Renal Clinic, Plc, Mid-south Renal Clinic, Plc and his current practice location is
1120 State Highway 77, Ste 1, Marion, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(870) 733-1177.
Mashhud M Mirza is licensed to practice in Arkansas (license number E1005) 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 1528003050.
Physician's Profile
| Full Name | Mashhud M Mirza |
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| Gender | Male |
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| Speciality | Nephrology |
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| Experience | 36 Years |
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| Location | 1120 State Highway 77, Marion, Arkansas |
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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:
- Mashhud M Mirza graduated from medical school in 1990
NPI Data:
- NPI Number: 1528003050
- Provider Enumeration Date: 06/18/2006
- Last Update Date: 03/02/2010
Medicare PECOS Information:
- PECOS PAC ID: 3476450107
- Enrollment ID: I20040323000505
Medical Identifiers
Medical identifiers for Mashhud M Mirza such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528003050 | NPI | - | NPPES |
| 3154566 | Other | TN | BLUE CROSS |
| 5K483 | Other | AR | BLUE CROSS |
| 136518001 | Medicaid | AR | |
| 110217316 | Other | | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RN0300X | Internal Medicine - Nephrology | E1005 (Arkansas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mid-south Renal Clinic, Plc | 2062303795 | 2 |
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| Mid-south Renal Clinic, Plc | 2062303795 | 2 |
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. Mashhud M Mirza allows following entities to bill medicare on his behalf.
| Entity Name | Mid-south Renal Clinic, Plc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093724346
PECOS PAC ID: 2062303795
Enrollment ID: O20040323000430 |
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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. Mashhud M 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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Mashhud M Mirza, MD
Po Box 55,
Marion, AR 72364-0055
Ph: (870) 733-1177 | Mashhud M Mirza, MD
1120 State Highway 77, Ste 1,
Marion, AR 72364-9027
Ph: (870) 733-1177 |
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