Siraj Ahmed Siddiqui Llc is a medicare enrolled primary clinic (Internal Medicine) in Lexington, Ohio. The current practice location for Siraj Ahmed Siddiqui Llc is 2666 Lexington Ave, Lexington, Ohio. For appointments, you can reach them via phone at
(419) 884-7232. The mailing address for Siraj Ahmed Siddiqui Llc is Po Box 3804, Mansfield, Ohio and phone number is (419) 617-7907.
Siraj Ahmed Siddiqui Llc is licensed to practice in Ohio (license number 35065056S). The clinic also participates in the medicare program and its
NPI number is 1497934921. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(419) 884-7232.
Primary Care Clinic Profile
| Full Name | Siraj Ahmed Siddiqui Llc |
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| Speciality | Internal Medicine |
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| Location | 2666 Lexington Ave, Lexington, Ohio |
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| Authorized Official Name and Position | Siraj A Siddiqui (OWNER) |
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| Authorized Official Contact | 4197749993 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Siraj Ahmed Siddiqui Llc
Po Box 3804
Mansfield
OH 44907
Ph: (419) 617-7907 | Siraj Ahmed Siddiqui Llc
2666 Lexington Ave
Lexington
OH 44904
Ph: (419) 884-7232 |
NPI Details:
| NPI Number | 1497934921 |
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| Provider Enumeration Date | 11/01/2007 |
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| Last Update Date | 01/27/2017 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 1355325796 |
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| Medicare Enrollment ID | O20040615000377 |
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Medical Identifiers
Medical identifiers for Siraj Ahmed Siddiqui Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497934921 | NPI | - | NPPES |
| 000000140397 | Other | OH | ANTHEM |
| 0954347 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 35065056S (Ohio) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Siraj Ahmed Siddiqui Llc acts as a billing entity for following providers:
| Provider Name | Siraj A Siddiqui |
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| Provider Type | Practitioner - Internal Medicine |
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| Provider Identifiers | NPI Number: 1518999333
PECOS PAC ID: 7315921764
Enrollment ID: I20111228000578 |
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