Dr Rezwan Islam, MD - Medicare Family Medicine in Fulton, MO

  1. Home
  2. Family Medicine
  3. MO
  4. Fulton
Dr Rezwan Islam, MD is a medicare enrolled "Family Medicine" physician in Fulton, Missouri. His current practice location is 850 N Hospital Dr, Ste D, Fulton, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 642-5338.

Dr Rezwan Islam is licensed to practice in Missouri (license number 2004010833) 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 1124054556.

Contact Information

Dr Rezwan Islam, MD
850 N Hospital Dr, Ste D,
Fulton, MO 65251-2535
(573) 642-5338
(573) 642-9224

Map and Direction




Physician's Profile

Full NameDr Rezwan Islam
GenderMale
SpecialityFamily Medicine
Location850 N Hospital Dr, Fulton, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124054556
  • Provider Enumeration Date: 06/25/2006
  • Last Update Date: 08/09/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 6103910369
  • Enrollment ID: I20070919000093

Medical Identifiers

Medical identifiers for Dr Rezwan Islam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124054556NPI-NPPES
207313107MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 2004010833 (Missouri)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 Rezwan Islam allows following entities to bill medicare on his behalf.
Entity NameJefferson City Medical Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336189398
PECOS PAC ID: 1850371089
Enrollment ID: O20040908000924
Entity NameFulton Medical Center Llc
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1417367665
PECOS PAC ID: 7810211398
Enrollment ID: O20150123001617
Entity NameNextcare Missouri Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245694082
PECOS PAC ID: 7517259252
Enrollment ID: O20160715001960
Entity NameNoble Health Audrain Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447841168
PECOS PAC ID: 0446667299
Enrollment ID: O20210430001237

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 Rezwan Islam 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 Rezwan Islam, MD
850 N Hospital Dr, Ste F,
Fulton, MO 65251-2535

Ph: (573) 642-5338		Dr Rezwan Islam, MD
850 N Hospital Dr, Ste D,
Fulton, MO 65251-2535

Ph: (573) 642-5338

Reviews and Comments


Family Medicine Doctors in Fulton, MO

Sophi Thurman, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 110 N Hospital Dr, Fulton, MO 65251
Phone: 573-642-5911    Fax: 573-642-3015
Heather L Pierce, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 110 N Hospital Dr, Fulton, MO 65251
Phone: 573-642-5911    Fax: 573-642-3015
Dr. William P Cravens, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 850 West Hospital Drive, Suite A, Fulton, MO 65251
Phone: 573-592-0337    Fax: 573-592-0711
Brice P Windsor, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2613 Fairway Dr, Fulton, MO 65251
Phone: 573-642-1990    Fax: 573-642-5089
James J Stevermer, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 110 N Hospital Dr, Fulton, MO 65251
Phone: 573-642-5911    Fax: 573-642-3015
Mark Cameron Dodds, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 110 N Hospital Dr, Fulton, MO 65251
Phone: 573-642-5911    Fax: 573-642-3015

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.