Hasan Farid Hasan Othman, MD - Medicare Pediatrics in Jacksonville, IL

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Hasan Farid Hasan Othman, MD is a medicare enrolled "Pediatrics" physician in Jacksonville, Illinois. His current practice location is 15 Founders Ln, Jacksonville, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 243-0300.

Hasan Farid Hasan Othman is licensed to practice in Illinois (license number 036160282) 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 1265091128.

Contact Information

Hasan Farid Hasan Othman, MD
15 Founders Ln,
Jacksonville, IL 62650-3919
(217) 243-0300
(217) 245-6775

Map and Direction




Physician's Profile

Full NameHasan Farid Hasan Othman
GenderMale
SpecialityPediatrics
Location15 Founders Ln, Jacksonville, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265091128
  • Provider Enumeration Date: 06/13/2019
  • Last Update Date: 03/28/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9032592985
  • Enrollment ID: I20220810002244

Medical Identifiers

Medical identifiers for Hasan Farid Hasan Othman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265091128NPI-NPPES
036160282OtherILIL MD LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 036160282 (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. Hasan Farid Hasan Othman allows following entities to bill medicare on his behalf.
Entity NameMemorial Physician Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417922964
PECOS PAC ID: 9032005681
Enrollment ID: O20040223000454

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. Hasan Farid Hasan Othman 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
Hasan Farid Hasan Othman, MD
15 Founders Ln,
Jacksonville, IL 62650-3919

Ph: (217) 243-0300		Hasan Farid Hasan Othman, MD
15 Founders Ln,
Jacksonville, IL 62650-3919

Ph: (217) 243-0300

Reviews and Comments


Pediatrics Doctors in Jacksonville, IL

Linda V Stevens-schilsky, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1440 W Walnut St, Jacksonville, IL 62650
Phone: 217-243-3543    
Dr. Rosemary Takyi Koeppel, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 15 Founders Ln, Suite 100, Jacksonville, IL 62650
Phone: 217-243-0300    Fax: 217-245-6775
Dr. Margaret Ann Wilson, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 814 West State Street, Jacksonville, IL 62650
Phone: 217-245-1232    Fax: 217-243-6765
Dr. Adam Norton, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 15 Founders Ln, Jacksonville, IL 62650
Phone: 217-291-1041    
Dr. Steven T Lillpop, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1600 W Walnut St, Jacksonville, IL 62650
Phone: 217-245-5437    Fax: 217-243-3113

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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