| Mr Tariq Mirza, MD | |
|
119 Coal Hollow Road, Pikeville, KY 41501 | |
| (606) 432-9216 | |
| Not Available |
| Full Name | Mr Tariq Mirza |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 43 Years |
| Location | 119 Coal Hollow Road, Pikeville, Kentucky |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861435851 | NPI | - | NPPES |
| 64061765 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 38098 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Harlan Arh Hospital | Harlan, KY | Hospital |
| Whitesburg Arh Hospital | Whitesburg, KY | Hospital |
| Middlesboro Arh Hospital | Middlesboro, KY | Hospital |
| Paul B Hall Regional Medical Center | Paintsville, KY | Hospital |
| Knox County Hospital | Barbourville, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pine Mountain Emergency Group Limited Liability Company | 3779918172 | 9 |
| Combs Mountain Emergency Group, Llc | 9335579515 | 9 |
| Entity Name | Southern Medical Partners, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538109962 PECOS PAC ID: 8123923679 Enrollment ID: O20031206000036 |
| Entity Name | Southeastern Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050302000285 |
| Entity Name | Williamson Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740492644 PECOS PAC ID: 5294828562 Enrollment ID: O20070831000176 |
| Entity Name | Middlesborough Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972715878 PECOS PAC ID: 9335232321 Enrollment ID: O20070907000084 |
| Entity Name | Hyden Emergency Physicians, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497036776 PECOS PAC ID: 6103099163 Enrollment ID: O20111108000187 |
| Entity Name | Floyd Emergency Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760834345 PECOS PAC ID: 6608164488 Enrollment ID: O20161011001337 |
| Entity Name | Beaver Creek Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689165904 PECOS PAC ID: 6406102797 Enrollment ID: O20180628001337 |
| Entity Name | Pine Mountain Emergency Group Limited Liability Company |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568010064 PECOS PAC ID: 3779918172 Enrollment ID: O20200113001770 |
| Entity Name | Combs Mountain Emergency Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629603527 PECOS PAC ID: 9335579515 Enrollment ID: O20200501000614 |
| Entity Name | Breathitt Emergency Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841825767 PECOS PAC ID: 1759712904 Enrollment ID: O20200504001352 |
| Entity Name | Yatesville Emergency Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053946970 PECOS PAC ID: 1355762485 Enrollment ID: O20200528001097 |
| Entity Name | Rockcastle Emergency Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225640154 PECOS PAC ID: 3971923814 Enrollment ID: O20201015000813 |
| Entity Name | Green Valley Emergency Physicians, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720755739 PECOS PAC ID: 4385035534 Enrollment ID: O20230926000510 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Tariq Mirza, MD 119 Coal Hollow Road, Pikeville, KY 41501 Ph: () - | Mr Tariq Mirza, MD 119 Coal Hollow Road, Pikeville, KY 41501 Ph: (606) 432-9216 |
John M Fleming, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 911 Bypass Rd Bldg A, Pikeville, KY 41501 Phone: 606-430-3500 Fax: 606-437-0595 | |
William B Webb, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 911 Bypass Rd Bldg A, Pikeville, KY 41501 Phone: 606-430-3500 Fax: 606-437-0595 | |
Ashley Parsell, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 810 Hambley Blvd, Pikeville, KY 41501 Phone: 606-218-5354 | |
Elizabeth Dupre, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 911 Bypass Rd Bldg A, Pikeville, KY 41501 Phone: 606-218-3500 Fax: 606-437-0595 | |
Michael Christian Whittier, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 911 Bypass Rd Bldg A, Pikeville, KY 41501 Phone: 606-430-3500 Fax: 606-437-0595 | |
Christopher Cody Reynolds, D.O Emergency Medicine Medicare: Medicare Enrolled Practice Location: 911 Bypass Rd Bldg A, Pikeville, KY 41501 Phone: 606-430-3500 Fax: 606-437-0595 | |
Ashley Nicole Dawson, Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 911 Bypass Rd Bldg A, Pikeville, KY 41501 Phone: 606-430-3500 Fax: 606-437-0595 |