Dr Audisho Brimo Khoshaba, MD in Chicago, IL

Dr Audisho Brimo Khoshaba, MD is a medicare enrolled "Family Medicine" physician in Chicago, Illinois. He graduated from medical school in 1973 and has 51 years of diverse experience with area of expertise as Family Practice. His current practice location is 2653 W Peterson Ave, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (773) 728-9399.

Dr Audisho Brimo Khoshaba is licensed to practice in Illinois (license number 036078916) 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 1104933191.

Contact Information

	Dr Audisho Brimo Khoshaba, MD
	2653 W Peterson Ave, Chicago, IL 60659-4017
	(773) 728-9399
	(773) 728-4162

Map and Direction

Physician's Profile

Full Name	Dr Audisho Brimo Khoshaba
Gender	Male
Speciality	Family Practice
Experience	51 Years
Location	2653 W Peterson Ave, Chicago, 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:

Dr Audisho Brimo Khoshaba graduated from medical school in 1973

NPI Data:

NPI Number: 1104933191
Provider Enumeration Date: 08/24/2006
Last Update Date: 07/20/2015

Medicare PECOS Information:

PECOS PAC ID: 9335224484
Enrollment ID: I20080313000139

Medical Identifiers

Medical identifiers for Dr Audisho Brimo Khoshaba such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104933191	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	036078916 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Four Seasons Home Healthcare, Inc	Morton grove, IL	Home health agency
Northshore University Healthsystem - Evanston Hospital	Evanston, IL	Hospital
Swedish Covenant Hospital	Chicago, IL	Hospital

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 Audisho Brimo Khoshaba allows following entities to bill medicare on his behalf.

Entity Name	Abk Medical Center Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720263197 PECOS PAC ID: 4183709280 Enrollment ID: O20080313000542

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 Audisho Brimo Khoshaba 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
Dr Audisho Brimo Khoshaba, MD 2653 W Peterson Ave, Chicago, IL 60659-4017 Ph: (773) 728-9399	Dr Audisho Brimo Khoshaba, MD 2653 W Peterson Ave, Chicago, IL 60659-4017 Ph: (773) 728-9399

Reviews and Comments

Family Medicine Doctors in Chicago, IL

Dr. Ayesha Hussain, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2424 W. Peterson Ave, Chicago, IL 60659 Phone: 773-761-0300
Dr. Ernesto Estor, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3525 W Peterson Ave, Suite 210, Chicago, IL 60659 Phone: 773-293-6671 Fax: 773-961-8102
Dr. Keri Leah Fair, M.D., PH.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4600 N Ravenswood Ave, 2nd Floor, Chicago, IL 60640 Phone: 773-561-7500 Fax: 773-561-7612
Maximiliano Luna Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2001 S California Ave, Chicago, IL 60608 Phone: 773-584-6200
Suyeun Ban, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 S California Ave Ste L1026, Chicago, IL 60608 Phone: 773-257-6097
Dr. Gabrielle Denise Gay, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5425 W Lake St, Chicago, IL 60644 Phone: 773-378-3347 Fax: 773-378-4028
Wilson Ching, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1740 W Taylor St, Chicago, IL 60612 Phone: 866-600-2273

Dr Audisho Brimo Khoshaba, MD - Medicare Family Practice in Chicago, IL