Dr Farooq A Mirza, MD - Medicare Surgery in Carrollton, KY

Dr Farooq A Mirza, MD is a medicare enrolled "Surgery" physician in Carrollton, Kentucky. His current practice location is 309 11th St, Carrollton, Kentucky. You can reach out to his office (for appointments etc.) via phone at (502) 732-3799.

Dr Farooq A Mirza is licensed to practice in Kentucky (license number 20006) 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 1245259910.

Contact Information

Dr Farooq A Mirza, MD
309 11th St,
Carrollton, KY 41008-1435
(502) 732-3799
(502) 732-8551



Physician's Profile

Full NameDr Farooq A Mirza
GenderMale
SpecialitySurgery
Location309 11th St, Carrollton, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245259910
  • Provider Enumeration Date: 07/19/2006
  • Last Update Date: 09/24/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4082794599
  • Enrollment ID: I20080109000215

Medical Identifiers

Medical identifiers for Dr Farooq A Mirza such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245259910NPI-NPPES
20006OtherKYSTATE LICENSE NUMBER
64866247MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 44235 (Ohio)Secondary
208600000XSurgery 20006 (Kentucky)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. Dr Farooq A Mirza allows following entities to bill medicare on his behalf.
Entity NameCcmh Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225159601
PECOS PAC ID: 2365540465
Enrollment ID: O20080108000723

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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 Farooq A 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
Dr Farooq A Mirza, MD
309 11th St,
Carrollton, KY 41008-1435

Ph: (502) 732-3799
Dr Farooq A Mirza, MD
309 11th St,
Carrollton, KY 41008-1435

Ph: (502) 732-3799

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Surgery Doctors in Carrollton, KY

Jeannine Marie Perrenoud, D.O.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 329 Floyd Dr, Carrollton, KY 41008
Phone: 502-732-3270    
Patricia L Figert, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 309 11th St, Carrollton, KY 41008
Phone: 502-732-3204    Fax: 502-732-3213

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