Urooj Mujtaba, PAC - Medicare Physician Assistant in Kettering, OH

Urooj Mujtaba, PAC is a medicare enrolled "Physician Assistant" in Kettering, Ohio. Her current practice location is 4750 Hempstead Station Drive, Kettering, Ohio. You can reach out to her office (for appointments etc.) via phone at (800) 875-0136.

Urooj Mujtaba is licensed to practice in Ohio (license number 1096688) 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 1740578590.

Contact Information

Urooj Mujtaba, PAC
4750 Hempstead Station Drive,
Kettering, OH 45429
(800) 875-0136
(937) 619-4150



Provider's Profile

Full NameUrooj Mujtaba
GenderFemale
SpecialityPhysician Assistant
Location4750 Hempstead Station Drive, Kettering, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1740578590
  • Provider Enumeration Date: 07/14/2011
  • Last Update Date: 10/03/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 9335317924
  • Enrollment ID: I20140515000714

Medical Identifiers

Medical identifiers for Urooj Mujtaba such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740578590NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 1096688 (Ohio)Primary

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. Urooj Mujtaba 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
Urooj Mujtaba, PAC
337c W North Ave,
Ada, OH 45810-1801

Ph: (650) 743-9005
Urooj Mujtaba, PAC
4750 Hempstead Station Drive,
Kettering, OH 45429

Ph: (800) 875-0136

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Physician Assistant Nurses in Kettering, OH

Milena Menchaca, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 3535 Southern Blvd, Kettering, OH 45429
Phone: 937-395-8166    
Annabeth Pruett Barry, PA-C, MBA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 424 E Stroop Rd Unit B, Kettering, OH 45429
Phone: 937-562-2300    Fax: 937-562-2302
Miss Kathryn Paige Combs, MPAS, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 3535 Southern Blvd, Kettering, OH 45429
Phone: 937-395-8166    
Michael D Kelley, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3535 Southern Blvd, Kettering, OH 45429
Phone: 937-395-6665    Fax: 937-395-6668
Marie Therese Mualla Oram, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3700 Southern Blvd Ste 300, Kettering, OH 45429
Phone: 937-643-9299    Fax: 937-643-2343
Lydia Nicole Little, PA-C
Physician Assistant
Medicare: May Accept Medicare Assignments
Practice Location: 3535 Southern Blvd, Kettering, OH 45429
Phone: 937-643-9299    Fax: 937-643-2343
Mr. David Evans, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3533 Southern Blvd Ste 2250, Kettering, OH 45429
Phone: 937-534-0330    Fax: 937-522-8995

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