Dr Wael Mohammad Otaibi, DO - Medicare General Surgery in Decatur, IL

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Dr Wael Mohammad Otaibi, DO is a medicare enrolled "Surgery" physician in Decatur, Illinois. He went to Michigan State University College Of Osteopathic Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice A And G Aesthetics Pllc and his current practice location is 1770 E Lake Shore Dr Ste 105, Decatur, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 329-1000.

Dr Wael Mohammad Otaibi is licensed to practice in Illinois (license number 036150787) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1255452124.

Contact Information

Dr Wael Mohammad Otaibi, DO
1770 E Lake Shore Dr Ste 105,
Decatur, IL 62521-3800
(217) 329-1000
(217) 329-1055

Map and Direction




Physician's Profile

Full NameDr Wael Mohammad Otaibi
GenderMale
SpecialityGeneral Surgery
Experience21 Years
Location1770 E Lake Shore Dr Ste 105, Decatur, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Wael Mohammad Otaibi attended and graduated from Michigan State University College Of Osteopathic Medicine in 2003
  NPI Data:
  • NPI Number: 1255452124
  • Provider Enumeration Date: 04/02/2007
  • Last Update Date: 11/15/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2062585284
  • Enrollment ID: I20210303001156

Medical Identifiers

Medical identifiers for Dr Wael Mohammad Otaibi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255452124NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 254927 (New York)Secondary
208600000XSurgery 5101015634 (Michigan)Secondary
208600000XSurgery 34.011232 (Ohio)Secondary
208600000XSurgery 036150787 (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
A And G Aesthetics Pllc80221017408

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 Wael Mohammad Otaibi allows following entities to bill medicare on his behalf.
Entity NameMarlette Regional Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235333931
PECOS PAC ID: 3971408121
Enrollment ID: O20031202000143
Entity NameMarlette Regional Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598840498
PECOS PAC ID: 3971408121
Enrollment ID: O20040225000161
Entity NameMarlette Regional Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1346325214
PECOS PAC ID: 3971408121
Enrollment ID: O20070223000678
Entity NameA And G Aesthetics Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194918789
PECOS PAC ID: 8022101740
Enrollment ID: O20070911000308

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 Wael Mohammad Otaibi 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 Wael Mohammad Otaibi, DO
3051 Hollis Dr Fl 2,
Springfield, IL 62704-7452

Ph: (217) 523-5432		Dr Wael Mohammad Otaibi, DO
1770 E Lake Shore Dr Ste 105,
Decatur, IL 62521-3800

Ph: (217) 329-1000

Reviews and Comments


Surgery Doctors in Decatur, IL

Dr. Ranjodh Singh, MD
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Phone: 217-876-5500    Fax: 217-876-5505
Timothy S Bailey, M.D.
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John Joseph White, MD
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Dr. Nikesh Lath, M.D
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Donald Paul Kamm, MD
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Phone: 217-424-2374    Fax: 217-424-2383
Dr. Albert F Gilman Iv, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 1 Memorial Dr Ste 300, Decatur, IL 62526
Phone: 217-876-5500    Fax: 217-876-5505

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.