Josue Flores Daboub, MD is a medicare enrolled "Medical Genetics - Clinical Genetics (m.d.)" physician in Peoria, Illinois. His current practice location is
530 Ne Glen Oak Ave, Peoria, Illinois. You can reach out to his office (for appointments etc.) via phone at
(309) 624-3313.
Josue Flores Daboub is licensed to practice in Utah (license number 9791717-1205) 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 1306108105.
Physician's Profile
Full Name | Josue Flores Daboub |
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Gender | Male |
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Speciality | Medical Genetics - Clinical Genetics (m.d.) |
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Location | 530 Ne Glen Oak Ave, Peoria, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1306108105
- Provider Enumeration Date: 06/08/2012
- Last Update Date: 10/28/2021
Medicare PECOS Information:
- PECOS PAC ID: 8921257742
- Enrollment ID: I20160719002189
Medical Identifiers
Medical identifiers for Josue Flores Daboub such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306108105 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 036130096 (Illinois) | Secondary |
207SG0201X | Medical Genetics - Clinical Genetics (m.d.) | 9791717-1205 (Utah) | 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. Josue Flores Daboub allows following entities to bill medicare on his behalf.
Entity Name | University Of Utah Pediatric Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1487018974 PECOS PAC ID: 0547552473 Enrollment ID: O20160713000371 |
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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. Josue Flores Daboub 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 |
Josue Flores Daboub, MD 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 Ph: (309) 264-3313 | Josue Flores Daboub, MD 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 Ph: (309) 624-3313 |
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