Dr Fadi Michel Shamsham, MD is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Mt. Vernon, Illinois. He graduated from medical school in 1993 and has 31 years of diverse experience with area of expertise as Interventional Cardiology. He is a member of the group practice Good Samaritan Regional Health Center and his current practice location is
4115 S. Water Tower Place, Mt. Vernon, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 204-5462.
Dr Fadi Michel Shamsham is licensed to practice in Illinois (license number 036123701) 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 1942203971.
Physician's Profile
| Full Name | Dr Fadi Michel Shamsham |
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| Gender | Male |
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| Speciality | Interventional Cardiology |
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| Experience | 31 Years |
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| Location | 4115 S. Water Tower Place, Mt. Vernon, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Fadi Michel Shamsham graduated from medical school in 1993
NPI Data:
- NPI Number: 1942203971
- Provider Enumeration Date: 05/23/2005
- Last Update Date: 04/19/2010
Medicare PECOS Information:
- PECOS PAC ID: 2264489947
- Enrollment ID: I20090911000259
Medical Identifiers
Medical identifiers for Dr Fadi Michel Shamsham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1942203971 | NPI | - | NPPES |
| 036123701 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 036123701 (Illinois) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 036123701 (Illinois) | Secondary |
| 207RI0011X | Internal Medicine - Interventional Cardiology | 036123701 (Illinois) | Primary |
Medical Facilities Affiliation
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 Michel Shamsham allows following entities to bill medicare on his behalf.
| Entity Name | Good Samaritan Regional Health Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487758801
PECOS PAC ID: 1658272059
Enrollment ID: O20040119000325 |
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| Entity Name | Southern Illinois Heart And Vascular Center Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497984389
PECOS PAC ID: 4880749027
Enrollment ID: O20090911000272 |
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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. Dr Fadi Michel Shamsham 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 |
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Dr Fadi Michel Shamsham, MD
4115 S. Water Tower Place, P.o.box 1003,
Mt. Vernon, IL 62864
Ph: (618) 204-5462 | Dr Fadi Michel Shamsham, MD
4115 S. Water Tower Place,
Mt. Vernon, IL 62864
Ph: (618) 204-5462 |
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