| Ahmed Ihsan Mirza, FNP-C | |
|
19100 Goddard Rd, Allen Park, MI 48101-1156 | |
| (313) 763-0309 | |
| (313) 771-9947 |
| Full Name | Ahmed Ihsan Mirza |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 19100 Goddard Rd, Allen Park, Michigan |
| 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 |
|---|---|---|---|
| 1407320559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 079537-23 (New Hampshire) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beaumont Hospital Royal Oak | Royal oak, MI | Hospital |
| Beaumont Hospital - Dearborn | Dearborn, MI | Hospital |
| Beaumont Hospital - Grosse Pointe | Grosse pointe, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Family Doc Clinic And Urgent Care Pllc | 4688078249 | 8 |
| Medworks Urgent Care Pllc | 5294108254 | 2 |
| Entity Name | Epmg Of Michigan Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386688992 PECOS PAC ID: 4789596339 Enrollment ID: O20040211000686 |
| Entity Name | Munson Healthcare Cadillac |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336539063 PECOS PAC ID: 6305161514 Enrollment ID: O20150401000808 |
| Entity Name | Degara App Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265976971 PECOS PAC ID: 7618251398 Enrollment ID: O20170223001941 |
| Entity Name | Livonia Emergency Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508472028 PECOS PAC ID: 9638582943 Enrollment ID: O20210106000099 |
| Entity Name | Family Doc Clinic And Urgent Care Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104406289 PECOS PAC ID: 4688078249 Enrollment ID: O20210804003533 |
| Entity Name | Medworks Urgent Care Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356047773 PECOS PAC ID: 5294108254 Enrollment ID: O20230222002773 |
| Mailing Address | Practice Location Address |
|---|---|
| Ahmed Ihsan Mirza, FNP-C 19100 Goddard Rd, Allen Park, MI 48101-1156 Ph: (313) 763-0309 | Ahmed Ihsan Mirza, FNP-C 19100 Goddard Rd, Allen Park, MI 48101-1156 Ph: (313) 763-0309 |
Melissa Erin Hana, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15101 Southfield Rd Ste 101, Allen Park, MI 48101 Phone: 313-383-3333 | |
Eid Tahsine Eid, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14825 Southfield Rd, Allen Park, MI 48101 Phone: 313-383-7071 | |
Mrs. Theodora Chukwudi, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7445 Allen Rd Ste 270, Allen Park, MI 48101 Phone: 313-920-6546 Fax: 313-949-5793 | |
Jazminn Martinez, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14825 Southfield Rd, Allen Park, MI 48101 Phone: 313-383-7071 | |
Linsey Lozon, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7445 Allen Rd Ste 210, Allen Park, MI 48101 Phone: 313-388-9552 | |
Dione Michel Johnson, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15606 Southfield Rd, Allen Park, MI 48101 Phone: 313-216-6200 | |
Ashley Singh, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7445 Allen Rd Ste 250, Allen Park, MI 48101 Phone: 734-282-2800 |