Dr Abdulmonam Ahmad Abulgasem Ali, MD - Medicare Pulmonary Disease in Mount Vernon, IL

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Dr Abdulmonam Ahmad Abulgasem Ali, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Mount Vernon, Illinois. He graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice Good Samaritan Regional Health Center, Physician Services Corporation Of Southern Illinois Inc and his current practice location is 4106 S Water Tower Pl, Mount Vernon, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 242-8900.

Dr Abdulmonam Ahmad Abulgasem Ali is licensed to practice in Wisconsin (license number 1721) 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 1396026506.

Contact Information

Dr Abdulmonam Ahmad Abulgasem Ali, MD
4106 S Water Tower Pl,
Mount Vernon, IL 62864-6544
(618) 242-8900
Not Available

Map and Direction




Physician's Profile

Full NameDr Abdulmonam Ahmad Abulgasem Ali
GenderMale
SpecialityPulmonary Disease
Experience15 Years
Location4106 S Water Tower Pl, Mount Vernon, 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:
  • Dr Abdulmonam Ahmad Abulgasem Ali graduated from medical school in 2009
  NPI Data:
  • NPI Number: 1396026506
  • Provider Enumeration Date: 08/31/2011
  • Last Update Date: 07/19/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4082918263
  • Enrollment ID: I20170613000176

Medical Identifiers

Medical identifiers for Dr Abdulmonam Ahmad Abulgasem Ali such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396026506NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0200XInternal Medicine - Critical Care Medicine 1721 (Wisconsin)Secondary
207RP1001XInternal Medicine - Pulmonary Disease 036.142644 (Illinois)Secondary
207RP1001XInternal Medicine - Pulmonary Disease 1721 (Wisconsin)Primary
207RC0200XInternal Medicine - Critical Care Medicine 036142644 (Illinois)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ssm Health - Good Samaritan HospitalMount vernon, ILHospital
Ssm Health St Mary's Hospital -centraliaCentralia, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Good Samaritan Regional Health Center165827205962
Physician Services Corporation Of Southern Illinois Inc9234022567100

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. Dr Abdulmonam Ahmad Abulgasem Ali allows following entities to bill medicare on his behalf.
Entity NameDecatur Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164477725
PECOS PAC ID: 6204731144
Enrollment ID: O20031203000685
Entity NameGood Samaritan Regional Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487758801
PECOS PAC ID: 1658272059
Enrollment ID: O20040119000325
Entity NameFranklin Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255369427
PECOS PAC ID: 4082516042
Enrollment ID: O20040121001102
Entity NameSt Marys Hospital Centralia Illinois
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770687196
PECOS PAC ID: 6709788920
Enrollment ID: O20040127000118
Entity NamePhysician Services Corporation Of Southern Illinois Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831101807
PECOS PAC ID: 9234022567
Enrollment ID: O20040304000583
Entity NameCounty Of Clay
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1184655136
PECOS PAC ID: 0042101982
Enrollment ID: O20180801002178

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. Dr Abdulmonam Ahmad Abulgasem Ali 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
Dr Abdulmonam Ahmad Abulgasem Ali, MD
4501 Hammerbersly Rd Apt 10g,
Madison, WI 53711

Ph: () -		Dr Abdulmonam Ahmad Abulgasem Ali, MD
4106 S Water Tower Pl,
Mount Vernon, IL 62864-6544

Ph: (618) 242-8900

Reviews and Comments


Internal Medicine Doctors in Mount Vernon, IL

Dr. Emmanuel Loutrianakis, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1 Good Samaritan Way, Mount Vernon, IL 62864
Phone: 847-736-0506    
Dr. Iqbal M Akhter, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1007 S.42nd St., Bldg A Ste. 4, Mount Vernon, IL 62864
Phone: 618-242-4626    Fax: 618-242-4638
Daniel Hoffman, MD
Pulmonary Disease
Medicare: Medicare Enrolled
Practice Location: 2 Good Samaritan Way, Suite 420, Mount Vernon, IL 62864
Phone: 618-899-4000    Fax: 618-899-4790
Mohamed Ruzaik Ibrahim, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 4115 S Water Tower Pl, Mount Vernon, IL 62864
Phone: 618-315-6090    
Kirandeep Khangura, MBBS
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 4113 S Water Tower Pl, Mount Vernon, IL 62864
Phone: 618-241-9071    
Dr. Mohammed Haseeb, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 4204 Williamson Pl, Mount Vernon, IL 62864
Phone: 618-244-2525    Fax: 618-244-3666
Cheryl L Emmons, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1100 S 42nd St, Suite B, Mount Vernon, IL 62864
Phone: 618-244-5053    Fax: 618-244-1355

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).

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