Adills Moosa, DO is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Decatur, Illinois. His current practice location is
1750 E Lake Shore Dr, Decatur, Illinois. You can reach out to his office (for appointments etc.) via phone at
(217) 464-1440.
Adills Moosa is licensed to practice in Indiana (license number 02005491A) 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 1932527017.
Physician's Profile
| Full Name | Adills Moosa |
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| Gender | Male |
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| Speciality | Preventive Medicine - Occupational Medicine |
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| Location | 1750 E Lake Shore Dr, Decatur, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1932527017
- Provider Enumeration Date: 04/04/2014
- Last Update Date: 01/06/2022
Medicare PECOS Information:
- PECOS PAC ID: 2365664513
- Enrollment ID: I20201024000016
Medical Identifiers
Medical identifiers for Adills Moosa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1932527017 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2083X0100X | Preventive Medicine - Occupational Medicine | R-10649 (Iowa) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 2083X0100X | Preventive Medicine - Occupational Medicine | 02005491A (Indiana) | 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. Adills Moosa allows following entities to bill medicare on his behalf.
| Entity Name | Hshs Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962644807
PECOS PAC ID: 5092857821
Enrollment ID: O20100116000275 |
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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. Adills Moosa 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 Address | Practice Location Address |
|---|
Adills Moosa, DO
4111 Franklin St,
Michigan City, IN 46360-7803
Ph: (219) 879-5400 | Adills Moosa, DO
1750 E Lake Shore Dr,
Decatur, IL 62521-3803
Ph: (217) 464-1440 |
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