Bassam Soufan, MD in Rockford, IL - Medicare Family Practice

Bassam Soufan, MD is a medicare enrolled "Family Medicine" physician in Rockford, Illinois. He graduated from medical school in 1978 and has 46 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Rockford Health Physicians and his current practice location is 2350 N Rockton Ave, Rockford, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 971-2000.

Bassam Soufan is licensed to practice in Illinois (license number 036-077791) 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 1356451546.

Contact Information

	Bassam Soufan, MD
	2350 N Rockton Ave, Rockford, IL 61103-3600
	(815) 971-2000
	Not Available

Map and Direction

Physician's Profile

Full Name	Bassam Soufan
Gender	Male
Speciality	Family Practice
Experience	46 Years
Location	2350 N Rockton Ave, Rockford, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Bassam Soufan graduated from medical school in 1978

NPI Data:

NPI Number: 1356451546
Provider Enumeration Date: 08/30/2006
Last Update Date: 01/18/2010

Medicare PECOS Information:

PECOS PAC ID: 4981668639
Enrollment ID: I20041115000690

Medical Identifiers

Medical identifiers for Bassam Soufan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356451546	NPI	-	NPPES
036077791	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	036-077791 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Javon Bea Hospital	Rockford, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Rockford Health Physicians	2567374036	304

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. Bassam Soufan allows following entities to bill medicare on his behalf.

Entity Name	Rockford Health Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043242886 PECOS PAC ID: 2567374036 Enrollment ID: O20031103000584

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. Bassam Soufan 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
Bassam Soufan, MD 2350 N Rockton Ave, Rockford, IL 61103-3600 Ph: (815) 971-2000	Bassam Soufan, MD 2350 N Rockton Ave, Rockford, IL 61103-3600 Ph: (815) 971-2000

Reviews and Comments

Family Medicine Doctors in Rockford, IL

Srivani Sridhar, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3505 N. Bell School Rd., Rockford, IL 61114 Phone: 779-696-0300
Dr. John Wall, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600
Dr. Steven J Lidvall, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1215 N Alpine Rd, Rockford, IL 61107 Phone: 815-391-7807
Dr. Arpana Broor Mathur, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 698 Featherstone Rd, Suite 250, Rockford, IL 61107 Phone: 815-399-4404 Fax: 815-484-7091
Ms. Rachael Mcpeek, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 1215 N Alpine Rd, Rockford, IL 61107 Phone: 815-490-1600
Dr. Jithinraj Edakkanambeth Varayil, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600 Fax: 815-490-1881
Dr. Raju M Shanmugam, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3401 N Perryville Rd, Rockford, IL 61114 Phone: 815-971-2000 Fax: 815-971-2000

Bassam Soufan, MD - Medicare Family Practice in Rockford, IL