Dr Fadi M Mustapha, MD in Dixon, IL - Medicare Gastroenterology

Dr Fadi M Mustapha, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Dixon, Illinois. He graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Ksb Medical Group Inc and his current practice location is 215 E 1st St, Dixon, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 285-5843.

Dr Fadi M Mustapha is licensed to practice in Illinois (license number 036-115681) 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 1508801986.

Contact Information

	Dr Fadi M Mustapha, MD
	215 E 1st St, Dixon, IL 61021
	(815) 285-5843
	(815) 285-5846

Map and Direction

Physician's Profile

Full Name	Dr Fadi M Mustapha
Gender	Male
Speciality	Gastroenterology
Experience	25 Years
Location	215 E 1st St, Dixon, 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 Fadi M Mustapha graduated from medical school in 1999

NPI Data:

NPI Number: 1508801986
Provider Enumeration Date: 06/18/2006
Last Update Date: 08/22/2018

Medicare PECOS Information:

PECOS PAC ID: 8123030525
Enrollment ID: I20060630000046

Medical Identifiers

Medical identifiers for Dr Fadi M Mustapha such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508801986	NPI	-	NPPES
K28334	Other	IL	MEDICARE
036-115681	Other	IL	ILLINOIS MEDICAL LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RG0100X	Internal Medicine - Gastroenterology	036-115681 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Katherine Shaw Bethea Hospital	Dixon, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ksb Medical Group Inc	7911890009	74

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 Fadi M Mustapha allows following entities to bill medicare on his behalf.

Entity Name	Ksb Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073592119 PECOS PAC ID: 7911890009 Enrollment ID: O20040203000860

Entity Name	Katherine Shaw Bethea Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427043546 PECOS PAC ID: 2264480037 Enrollment ID: O20081218000029

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 Fadi M Mustapha 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 Fadi M Mustapha, MD 215 E 1st St, Dixon, IL 61021-3175 Ph: (815) 285-5843	Dr Fadi M Mustapha, MD 215 E 1st St, Dixon, IL 61021 Ph: (815) 285-5843

Reviews and Comments

Internal Medicine Doctors in Dixon, IL

Abdulhamid Alkhalaf, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 215 E 1st St Ste 310, Dixon, IL 61021 Phone: 815-285-5979 Fax: 815-285-5845
Eric Gale, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 215 E 1st St, Suite 214, Dixon, IL 61021 Phone: 815-284-1600
Pranjal M Agrawal, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 102 S Hennepin Ave, Dixon, IL 61021 Phone: 815-284-7733 Fax: 815-288-1487
Dr. Danca Luchici, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 1321 N Galena Ave, Dixon, IL 61021 Phone: 815-625-4790
Philippa M Devenney, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 403 E. 1st Street, Katherine Shaw Bethea Hospital, Dixon, IL 61021 Phone: 815-285-5629 Fax: 815-285-5634
Dr. Dara Grennan, Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 403 E 1st St, Dixon, IL 61021 Phone: 815-285-5629 Fax: 815-285-5634

Dr Fadi M Mustapha, MD - Medicare Gastroenterology in Dixon, IL