Mohammad Ekhtiar Rahman, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Rochester, Pennsylvania. His current practice location is
176 Virginia Ave, Rochester, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(724) 300-2971.
Mohammad Ekhtiar Rahman is licensed to practice in Pennsylvania (license number SP031725) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1417766890.
Provider's Profile
| Full Name | Mohammad Ekhtiar Rahman |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 176 Virginia Ave, Rochester, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1417766890
- Provider Enumeration Date: 12/31/2024
- Last Update Date: 06/04/2025
Medicare PECOS Information:
- PECOS PAC ID: 1658895909
- Enrollment ID: I20250408001510
Medical Identifiers
Medical identifiers for Mohammad Ekhtiar Rahman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1417766890 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | SP031725 (Pennsylvania) | 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. Mohammad Ekhtiar Rahman allows following entities to bill medicare on his behalf.
| Entity Name | Primary Health Network |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417932609
PECOS PAC ID: 9234046228
Enrollment ID: O20031124000553 |
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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. Mohammad Ekhtiar Rahman 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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Mohammad Ekhtiar Rahman, CRNP
100 Shenango Ave,
Sharon, PA 16146-1503
Ph: (724) 300-2971 | Mohammad Ekhtiar Rahman, CRNP
176 Virginia Ave,
Rochester, PA 15074-1723
Ph: (724) 300-2971 |
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