Dr Keith Lewis Fabrique, MD - Medicare Preventive Medicine in Decatur, IL

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Dr Keith Lewis Fabrique, MD is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Decatur, Illinois. His current practice location is 1750 E Lake Shore Dr, Lower Level, Decatur, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 425-2732.

Dr Keith Lewis Fabrique is licensed to practice in Illinois (license number 036050458) 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 1225196710.

Contact Information

Dr Keith Lewis Fabrique, MD
1750 E Lake Shore Dr, Lower Level,
Decatur, IL 62521
(217) 425-2732
(217) 425-4778

Map and Direction




Physician's Profile

Full NameDr Keith Lewis Fabrique
GenderMale
SpecialityPreventive Medicine - Occupational Medicine
Location1750 E Lake Shore Dr, Decatur, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1225196710
  • Provider Enumeration Date: 12/05/2006
  • Last Update Date: 12/29/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7517988405
  • Enrollment ID: I20051207000435

Medical Identifiers

Medical identifiers for Dr Keith Lewis Fabrique such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225196710NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 036050458 (Illinois)Secondary
2083X0100XPreventive Medicine - Occupational Medicine 036050458 (Illinois)Primary

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 Keith Lewis Fabrique allows following entities to bill medicare on his behalf.
Entity NameHshs Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962644807
PECOS PAC ID: 5092857821
Enrollment ID: O20100116000275

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 Keith Lewis Fabrique 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 Keith Lewis Fabrique, MD
1750 E Lake Shore Dr, Lower Level,
Decatur, IL 62521

Ph: (217) 425-2732		Dr Keith Lewis Fabrique, MD
1750 E Lake Shore Dr, Lower Level,
Decatur, IL 62521

Ph: (217) 425-2732

Reviews and Comments


Preventive Medicine Doctors in Decatur, IL

Dr. Jon Fredrick Petersen, M.D.
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1750 E Lake Shore Dr, Decatur, IL 62521
Phone: 217-464-1440    Fax: 217-464-1469
Adills Moosa, DO
Preventive Medicine
Medicare: Medicare Enrolled
Practice Location: 1750 E Lake Shore Dr, Decatur, IL 62521
Phone: 217-464-1440    
Dr. Heather M O'hara, M.D.
Preventive Medicine
Medicare: Medicare Enrolled
Practice Location: 2120 N 27th St, Decatur, IL 62526
Phone: 217-876-4600    

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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