Hisham Alwakkaa, is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Woodridge, Illinois. His current practice location is
2521 Cedar Hill Ln, Woodridge, Illinois. You can reach out to his office (for appointments etc.) via phone at
(203) 212-7241.
Hisham Alwakkaa is licensed to practice in Illinois (license number 036163665) 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 1477089969.
Physician's Profile
| Full Name | Hisham Alwakkaa |
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| Gender | Male |
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| Speciality | Radiology - Diagnostic Radiology |
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| Location | 2521 Cedar Hill Ln, Woodridge, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1477089969
- Provider Enumeration Date: 05/04/2017
- Last Update Date: 12/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 7517218928
- Enrollment ID: I20230524003501
Medical Identifiers
Medical identifiers for Hisham Alwakkaa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1477089969 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | 70164 (Connecticut) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 036163665 (Illinois) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | 163655 (Illinois) | Secondary |
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. Hisham Alwakkaa allows following entities to bill medicare on his behalf.
| Entity Name | Eastpointe Radiologists Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881642056
PECOS PAC ID: 7618876327
Enrollment ID: O20211013001217 |
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| Entity Name | Sra Medical Imaging Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881920452
PECOS PAC ID: 1759369663
Enrollment ID: O20240702001460 |
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| Entity Name | Southtowns Radiology Associates Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295779072
PECOS PAC ID: 9830097542
Enrollment ID: O20240708001358 |
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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. Hisham Alwakkaa 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 |
|---|
Hisham Alwakkaa,
2521 Cedar Hill Ln,
Woodridge, IL 60517-4273
Ph: (203) 212-7241 | Hisham Alwakkaa,
2521 Cedar Hill Ln,
Woodridge, IL 60517-4273
Ph: (203) 212-7241 |
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