Mashhud M Mirza, MD - Medicare Nephrology in Marion, AR

Mashhud M Mirza, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Marion, Arkansas. He graduated from medical school in 1990 and has 34 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Mid-south Renal Clinic, Plc, Mid-south Renal Clinic, Plc and his current practice location is 1120 State Highway 77, Ste 1, Marion, Arkansas. You can reach out to his office (for appointments etc.) via phone at (870) 733-1177.

Mashhud M Mirza is licensed to practice in Arkansas (license number E1005) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1528003050.

Contact Information

Mashhud M Mirza, MD
1120 State Highway 77, Ste 1,
Marion, AR 72364-9027
(870) 733-1177
(870) 702-6128



Physician's Profile

Full NameMashhud M Mirza
GenderMale
SpecialityNephrology
Experience34 Years
Location1120 State Highway 77, Marion, Arkansas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mashhud M Mirza graduated from medical school in 1990
  NPI Data:
  • NPI Number: 1528003050
  • Provider Enumeration Date: 06/18/2006
  • Last Update Date: 03/02/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 3476450107
  • Enrollment ID: I20040323000505

Medical Identifiers

Medical identifiers for Mashhud M Mirza such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528003050NPI-NPPES
3154566OtherTNBLUE CROSS
5K483OtherARBLUE CROSS
136518001MedicaidAR
110217316OtherRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology E1005 (Arkansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Davita - Renal Care Of MarionMarion, ARDialysis facility
Isd Renal IncMemphis, TNDialysis facility
Davita - Osceola Renal CtrOsceola, ARDialysis facility
Baptist Memorial Hospital-crittenden, IncWest memphis, ARHospital
South Mississippi County Regional Medical CenterOsceola, ARHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mid-south Renal Clinic, Plc20623037952
Mid-south Renal Clinic, Plc20623037952

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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. Mashhud M Mirza allows following entities to bill medicare on his behalf.
Entity NameMid-south Renal Clinic, Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093724346
PECOS PAC ID: 2062303795
Enrollment ID: O20040323000430

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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. Mashhud M 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
Mashhud M Mirza, MD
Po Box 55,
Marion, AR 72364-0055

Ph: (870) 733-1177
Mashhud M Mirza, MD
1120 State Highway 77, Ste 1,
Marion, AR 72364-9027

Ph: (870) 733-1177

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Internal Medicine Doctors in Marion, AR

Dr. Asif Saeed Kazmi, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 1120 State Highway 77 Ste 1, Marion, AR 72364
Phone: 870-733-1177    Fax: 870-702-6128

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