Ahmed Ihsan Mirza, FNP-C - Medicare Nurse Practitioner in Allen Park, MI

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Ahmed Ihsan Mirza, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Allen Park, Michigan. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Family Doc Clinic And Urgent Care Pllc and his current practice location is 19100 Goddard Rd, Allen Park, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 763-0309.

Ahmed Ihsan Mirza is licensed to practice in New Hampshire (license number 079537-23) 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 1407320559.

Contact Information

Ahmed Ihsan Mirza, FNP-C
19100 Goddard Rd,
Allen Park, MI 48101-1156
(313) 763-0309
(313) 771-9947

Map and Direction




Provider's Profile

Full NameAhmed Ihsan Mirza
GenderMale
SpecialityNurse Practitioner
Experience6 Years
Location19100 Goddard Rd, Allen Park, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ahmed Ihsan Mirza graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1407320559
  • Provider Enumeration Date: 01/11/2019
  • Last Update Date: 06/17/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0840530341
  • Enrollment ID: I20200716002927

Medical Identifiers

Medical identifiers for Ahmed Ihsan Mirza such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407320559NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 079537-23 (New Hampshire)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. Ahmed Ihsan Mirza allows following entities to bill medicare on his behalf.
Entity NameMunson Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083761860
PECOS PAC ID: 3072426287
Enrollment ID: O20040108000904
Entity NameEpmg Of Michigan Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386688992
PECOS PAC ID: 4789596339
Enrollment ID: O20040211000686
Entity NameMunson Healthcare Cadillac
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336539063
PECOS PAC ID: 6305161514
Enrollment ID: O20150401000808
Entity NameDegara App Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265976971
PECOS PAC ID: 7618251398
Enrollment ID: O20170223001941
Entity NameLivonia Emergency Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508472028
PECOS PAC ID: 9638582943
Enrollment ID: O20210106000099
Entity NameFamily Doc Clinic And Urgent Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104406289
PECOS PAC ID: 4688078249
Enrollment ID: O20210804003533
Entity NameMedworks Urgent Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356047773
PECOS PAC ID: 5294108254
Enrollment ID: O20230222002773

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. Ahmed Ihsan 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 AddressPractice 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

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.