Ifath G Bashiruddin, MD in Belleville, IL

Ifath G Bashiruddin, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Belleville, Illinois. She graduated from medical school in 1977 and has 47 years of diverse experience with area of expertise as Nephrology. She is a member of the group practice Rashid A Dalal Md Pc and her current practice location is 4550 Memorial Dr, Suite 360, Belleville, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 239-9500.

Ifath G Bashiruddin is licensed to practice in Illinois (license number 036085731) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1417060534.

Contact Information

	Ifath G Bashiruddin, MD
	4550 Memorial Dr, Suite 360, Belleville, IL 62226-5359
	(618) 239-9500
	(618) 239-9555

Map and Direction

Physician's Profile

Full Name	Ifath G Bashiruddin
Gender	Female
Speciality	Nephrology
Experience	47 Years
Location	4550 Memorial Dr, Belleville, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ifath G Bashiruddin graduated from medical school in 1977

NPI Data:

NPI Number: 1417060534
Provider Enumeration Date: 08/15/2006
Last Update Date: 01/31/2012

Medicare PECOS Information:

PECOS PAC ID: 5799872016
Enrollment ID: I20071102000715

Medical Identifiers

Medical identifiers for Ifath G Bashiruddin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417060534	NPI	-	NPPES
390007921	Other	IL	RAILROAD MEDICARE
036085731	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	036085731 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Davita - Metro East Dialysis	Belleville, IL	Dialysis facility
Davita - Shiloh Dialysis	Belleville, IL	Dialysis facility
Fmc - Regency Park	O fallon, IL	Dialysis facility
Memorial Hospital	Belleville, IL	Hospital
Hshs St Elizabeth's Hospital	O fallon, IL	Hospital
St Josephs Hospital	Breese, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Rashid A Dalal Md Pc	2163459348	4

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. Ifath G Bashiruddin allows following entities to bill medicare on her behalf.

Entity Name	Southern Illinois Healthcare Foundation, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013198712 PECOS PAC ID: 1456256874 Enrollment ID: O20031126000641

Entity Name	Rashid A Dalal Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053390484 PECOS PAC ID: 2163459348 Enrollment ID: O20050719001076

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. Ifath G Bashiruddin 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
Ifath G Bashiruddin, MD 7 Beaver Creek Ct, Saint Charles, MO 63303-5497 Ph: (618) 239-9500	Ifath G Bashiruddin, MD 4550 Memorial Dr, Suite 360, Belleville, IL 62226-5359 Ph: (618) 239-9500

Reviews and Comments

Internal Medicine Doctors in Belleville, IL

Dr. Dennis P Larson, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 509 E Waters Edge Dr, Belleville, IL 62221 Phone: 618-235-1510 Fax: 618-235-1502
Kathleen K Fournier, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 4600 Memorial Dr, Suite 100, Belleville, IL 62226 Phone: 618-222-9999 Fax: 618-222-9337
Eldon Trame, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 2900 Frank Scott Pkwy W, Suite 904, Belleville, IL 62223 Phone: 618-234-0640 Fax: 314-851-4475
Anand P. Patel, MD Nephrology Medicare: Medicare Enrolled Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-257-6220
Eduardo Martinez-barrios, MD Nephrology Medicare: Medicare Enrolled Practice Location: 4600 Memorial Dr, Suite 120, Belleville, IL 62226 Phone: 618-233-2220 Fax: 618-233-2555
Kashif Shahzad Bhutto, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4600 Memorial Dr Ste 200, Belleville, IL 62226 Phone: 618-233-2220 Fax: 618-233-2555
Dr. David Nelson Pfohl, MD, FACP, GAQ Nephrology Medicare: Medicare Enrolled Practice Location: 45 Pebble Hill Dr, Belleville, IL 62223 Phone: 618-604-6518

Ifath G Bashiruddin, MD - Medicare Nephrology in Belleville, IL