Mohammed K Qaisi, DMD, MD - Medicare in Chicago, IL

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Mohammed K Qaisi, DMD, MD is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Chicago, Illinois. He went to Louisiana State University School Of Medicine In New Orleans and graduated in 2008 and has 16 years of diverse experience with area of expertise as Oral Surgery. He is a member of the group practice Oral And Maxilloficial Head And Neck Associates Llc and his current practice location is 1969 W Ogden Ave # Clinicd, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (128) 645-1633.

Mohammed K Qaisi is licensed to practice in Illinois (license number 036.139464) 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 1679783088.

Contact Information

Mohammed K Qaisi, DMD, MD
1969 W Ogden Ave # Clinicd,
Chicago, IL 60612-3765
(128) 645-1633
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMohammed K Qaisi
GenderMale
SpecialityOral Surgery
Experience16 Years
Location1969 W Ogden Ave # Clinicd, Chicago, Illinois
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:
  • Mohammed K Qaisi attended and graduated from Louisiana State University School Of Medicine In New Orleans in 2008
  NPI Data:
  • NPI Number: 1679783088
  • Provider Enumeration Date: 05/23/2007
  • Last Update Date: 04/28/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8820212038
  • Enrollment ID: I20160314001703

Medical Identifiers

Medical identifiers for Mohammed K Qaisi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679783088NPI-NPPES
21459MedicaidLA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223S0112XDentist - Oral And Maxillofacial Surgery 019.030516 (Illinois)Secondary
204E00000XOral & Maxillofacial Surgery 036.139464 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Advocate Illinois Masonic Medical CenterChicago, ILHospital
Advocate Lutheran General HospitalPark ridge, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Oral And Maxilloficial Head And Neck Associates Llc19516345004

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. Mohammed K Qaisi allows following entities to bill medicare on his behalf.
Entity NameCook County
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588612832
PECOS PAC ID: 2860398088
Enrollment ID: O20031209000747
Entity NameOral And Maxilloficial Head And Neck Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821652736
PECOS PAC ID: 1951634500
Enrollment ID: O20190613000700

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. Mohammed K Qaisi 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
Mohammed K Qaisi, DMD, MD
1969 W Ogden Ave,
Chicago, IL 60612-3765

Ph: (128) 645-1633		Mohammed K Qaisi, DMD, MD
1969 W Ogden Ave # Clinicd,
Chicago, IL 60612-3765

Ph: (128) 645-1633

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.