Dr Fawziya Siddique Mirza, OD is a medicare enrolled "Optometrist" provider in Burtonsville, Maryland. She went to New England College Of Optometry and graduated in 1996 and has 28 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Eye Care Associates Of Maryland Llc and her current practice location is
15785 Columbia Pike, Burtonsville, Maryland. You can reach out to her office (for appointments etc.) via phone at
(301) 421-1144.
Dr Fawziya Siddique Mirza is licensed to practice in Maryland (license number TPA1423) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1700811213.
Healthcare Provider's Profile
Full Name | Dr Fawziya Siddique Mirza |
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Gender | Female |
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Speciality | Optometry |
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Experience | 28 Years |
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Location | 15785 Columbia Pike, Burtonsville, Maryland |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Fawziya Siddique Mirza attended and graduated from New England College Of Optometry in 1996
NPI Data:
- NPI Number: 1700811213
- Provider Enumeration Date: 07/12/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 8921163460
- Enrollment ID: I20130919000057
Medical Identifiers
Medical identifiers for Dr Fawziya Siddique Mirza such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700811213 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | TPA1423 (Maryland) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Eye Care Associates Of Maryland Llc | 1850491994 | 19 |
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. Dr Fawziya Siddique Mirza allows following entities to bill medicare on her behalf.
Provider Name | Eye Care Associates Of Maryland Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1588784235 PECOS PAC ID: 1850491994 Enrollment ID: O20070703000127 |
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Provider Name | Drs Ely And Cohen Optometry Of Maple Lawn Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1750720991 PECOS PAC ID: 3375783871 Enrollment ID: O20130705000077 |
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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. Dr Fawziya Siddique 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 |
Dr Fawziya Siddique Mirza, OD 6907 Bugledrum Way, Columbia, MD 21045-4612 Ph: (410) 381-2186 | Dr Fawziya Siddique Mirza, OD 15785 Columbia Pike, Burtonsville, MD 20866-1030 Ph: (301) 421-1144 |
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