John H Fahey, MD is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Springfield, Illinois. His current practice location is
2901 Old Jacksonville Rd, Springfield, Illinois. You can reach out to his office (for appointments etc.) via phone at
(217) 546-0512.
John H Fahey is licensed to practice in Illinois (license number 036109320) 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 1144287020.
Physician's Profile
| Full Name | John H Fahey |
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| Gender | Male |
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| Speciality | Preventive Medicine - Occupational Medicine |
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| Location | 2901 Old Jacksonville Rd, Springfield, 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: 1144287020
- Provider Enumeration Date: 04/26/2006
- Last Update Date: 12/29/2021
Medicare PECOS Information:
- PECOS PAC ID: 7214927938
- Enrollment ID: I20040514000782
Medical Identifiers
Medical identifiers for John H Fahey such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144287020 | NPI | - | NPPES |
| 036109320 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2083X0100X | Preventive Medicine - Occupational Medicine | 036109320 (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. John H Fahey allows following entities to bill medicare on his behalf.
| Entity Name | Uptown Emergency Physicians Llp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811135882
PECOS PAC ID: 8921096850
Enrollment ID: O20040430001269 |
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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. John H Fahey 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 |
|---|
John H Fahey, MD
2901 Old Jacksonville Rd,
Springfield, IL 62704-7437
Ph: (217) 546-0512 | John H Fahey, MD
2901 Old Jacksonville Rd,
Springfield, IL 62704-7437
Ph: (217) 546-0512 |
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