Dr Fadol Mohamed, MD in Sault Sainte Marie, MI

Dr Fadol Mohamed, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Sault Sainte Marie, Michigan. His current practice location is 560 Osborn Blvd, Sault Sainte Marie, Michigan. You can reach out to his office (for appointments etc.) via phone at (906) 632-1800.

Dr Fadol Mohamed is licensed to practice in Illinois (license number 036168028) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1578090734.

Contact Information

	Dr Fadol Mohamed, MD
	560 Osborn Blvd, Sault Sainte Marie, MI 49783-1961
	(906) 632-1800
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Fadol Mohamed
Gender	Male
Speciality	Internal Medicine - Cardiovascular Disease
Location	560 Osborn Blvd, Sault Sainte Marie, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578090734
Provider Enumeration Date: 05/18/2017
Last Update Date: 02/07/2024

Medicare PECOS Information:

PECOS PAC ID: 6406126663
Enrollment ID: I20220407001070

Medical Identifiers

Medical identifiers for Dr Fadol Mohamed such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578090734	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0000X	Internal Medicine - Cardiovascular Disease	036168028 (Illinois)	Primary
207RC0000X	Internal Medicine - Cardiovascular Disease	69999 (Connecticut)	Secondary
207RC0000X	Internal Medicine - Cardiovascular Disease	036168028 (Michigan)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

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 Fadol Mohamed allows following entities to bill medicare on his behalf.

Entity Name	Hartford Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407806391 PECOS PAC ID: 2567366016 Enrollment ID: O20031125000700

Entity Name	Hartford Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770696643 PECOS PAC ID: 2567366016 Enrollment ID: O20031125000752

Entity Name	The Hospital Of Central Connecticut At New Britain General And Bradley
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063461481 PECOS PAC ID: 6507776564 Enrollment ID: O20040115000497

Entity Name	Midstate Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154425288 PECOS PAC ID: 7416840699 Enrollment ID: O20040203000244

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 Fadol Mohamed 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 Fadol Mohamed, MD 500 Osborn Blvd, Sault Sainte Marie, MI 49783-1822 Ph: (906) 635-4518	Dr Fadol Mohamed, MD 560 Osborn Blvd, Sault Sainte Marie, MI 49783-1961 Ph: (906) 632-1800

Reviews and Comments

Internal Medicine Doctors in Sault Sainte Marie, MI

Tara Michelle Miller, NP Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 500 Osborn Blvd, Sault Sainte Marie, MI 49783 Phone: 906-636-4460
Mohammed Tariq Vakani, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 510 Ashmun St, Suite 5, Sault Sainte Marie, MI 49783 Phone: 906-632-6013 Fax: 906-632-8618
Dr. Amy G Bolmer, D.O. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 510 Ashmun St, Sault Sainte Marie, MI 49783 Phone: 906-632-6013
Dr. Eero J Ranta, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 550 Osborn Blvd, Suite 204, Sault Sainte Marie, MI 49783 Phone: 906-632-6823 Fax: 906-632-7755
Dr. Arthur Luka, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 500 Osborn Blvd, Sault Sainte Marie, MI 49783 Phone: 906-635-4460
Dr. Peter Mike Ranta, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 309 W 12th Ave, Suite 101, Sault Sainte Marie, MI 49783 Phone: 906-253-0400 Fax: 906-253-0401

Dr Fadol Mohamed, MD - Medicare Internal Medicine in Sault Sainte Marie, MI