Dr Samir Fares Abdo, MD is a medicare enrolled "Surgery" physician in Eldorado, Illinois. His current practice location is
1306 Maple St., Eldorado, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 297-9609.
Dr Samir Fares Abdo is licensed to practice in Illinois (license number 36063628) 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 1578612982.
Physician's Profile
Full Name | Dr Samir Fares Abdo |
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Gender | Male |
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Speciality | Surgery |
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Location | 1306 Maple St., Eldorado, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1578612982
- Provider Enumeration Date: 01/09/2007
- Last Update Date: 01/30/2015
Medicare PECOS Information:
- PECOS PAC ID: 9133208358
- Enrollment ID: I20080429000860
Medical Identifiers
Medical identifiers for Dr Samir Fares Abdo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578612982 | NPI | - | NPPES |
0360636282 | Medicaid | IL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 36063628 (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 Samir Fares Abdo allows following entities to bill medicare on his behalf.
Entity Name | Crossroads Emergency Physicians Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1023033982 PECOS PAC ID: 3072419712 Enrollment ID: O20031211000854 |
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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 Samir Fares Abdo 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 Samir Fares Abdo, MD 117 E Clark St, Harrisburg, IL 62946-2702 Ph: (618) 252-8625 | Dr Samir Fares Abdo, MD 1306 Maple St., Eldorado, IL 62930-1634 Ph: (618) 297-9609 |
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