Dr Fatima Mirza, MD - Medicare Pediatrics in Gladstone, MD

Dr Fatima Mirza, MD is a medicare enrolled "Pediatrics" physician in Gladstone, Maryland. Her current practice location is 101 Nw Englewood Road, Suite 130, Gladstone, Maryland. You can reach out to her office (for appointments etc.) via phone at (816) 455-1951.

Dr Fatima Mirza is licensed to practice in Missouri (license number MD3RD37) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1023195229.

Contact Information

Dr Fatima Mirza, MD
101 Nw Englewood Road, Suite 130,
Gladstone, MD 64118
(816) 455-1951
(816) 455-0540



Physician's Profile

Full NameDr Fatima Mirza
GenderFemale
SpecialityPediatrics
Location101 Nw Englewood Road, Gladstone, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023195229
  • Provider Enumeration Date: 11/01/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 5991034118
  • Enrollment ID: I20190912001035

Medical Identifiers

Medical identifiers for Dr Fatima Mirza such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023195229NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MD3RD37 (Missouri)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 Fatima Mirza allows following entities to bill medicare on her behalf.
Entity NameKansas City Care Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215273388
PECOS PAC ID: 9335386168
Enrollment ID: O20130514000624

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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 Fatima 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 Fatima Mirza, MD
101 Nw Englewood Road, Suite 130,
Gladstone, MD 64118

Ph: (816) 455-1951
Dr Fatima Mirza, MD
101 Nw Englewood Road, Suite 130,
Gladstone, MD 64118

Ph: (816) 455-1951

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Pediatrics Doctors in Gladstone, MD


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