Dr Mohammad Asim Mustafa, MD in Rockford, IL

Dr Mohammad Asim Mustafa, MD is a medicare enrolled "Pediatrics - Adolescent Medicine" physician in Rockford, Illinois. His current practice location is 461 N. Mulford Road, Suite 12, Rockford, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 398-1009.

Dr Mohammad Asim Mustafa is licensed to practice in Illinois (license number ) 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 1639265259.

Contact Information

	Dr Mohammad Asim Mustafa, MD
	461 N. Mulford Road, Suite 12, Rockford, IL 61107-5165
	(815) 398-1009
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Mohammad Asim Mustafa
Gender	Male
Speciality	Pediatrics - Adolescent Medicine
Location	461 N. Mulford Road, Rockford, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639265259
Provider Enumeration Date: 10/04/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5395152003
Enrollment ID: I20210325000162

Medical Identifiers

Medical identifiers for Dr Mohammad Asim Mustafa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639265259	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080A0000X	Pediatrics - Adolescent Medicine	(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 Mohammad Asim Mustafa allows following entities to bill medicare on his behalf.

Entity Name	Osf Multi-specialty Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279

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 Mohammad Asim Mustafa 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 Mohammad Asim Mustafa, MD 461 N. Mulford Road, Suite 12, Rockford, IL 61107-5165 Ph: (815) 398-1009	Dr Mohammad Asim Mustafa, MD 461 N. Mulford Road, Suite 12, Rockford, IL 61107-5165 Ph: (815) 398-1009

Reviews and Comments

Pediatrics Doctors in Rockford, IL

Dr. Karen J Dyer, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1401 E State St, Rockford, IL 61104 Phone: 779-696-4400
Dr. Thomas Danko, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1401 E State St, Rockford, IL 61104 Phone: 779-696-4400
Dr. Gary Patrick Fernando, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600
Kimberly Remedios-smith, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2400 N Rockton Ave, Rockford, IL 61103 Phone: 815-971-5000 Fax: 815-968-5742
Dr. Errol Christopher Baptist, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 461 N Mulford Rd, Suite # 4, Rockford, IL 61107 Phone: 779-696-5570
Patricia L. Moody, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2780 Mcfarland Rd, Rockford, IL 61107 Phone: 815-971-2000 Fax: 815-637-0400
Dr. Gail Sharon Haiken, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5303 Regents Park Rd, Rockford, IL 61107 Phone: 815-397-2528

Dr Mohammad Asim Mustafa, MD - Medicare Pediatrics in Rockford, IL