Mr Awni Darweesh Shahait, MD in Carbondale, IL

Mr Awni Darweesh Shahait, MD is a medicare enrolled "Surgery - Trauma Surgery" physician in Carbondale, Illinois. His current practice location is 305 W Jackson St Ste 206, Carbondale, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 457-3006.

Mr Awni Darweesh Shahait is licensed to practice in Illinois (license number 036160126) 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 1871972422.

Contact Information

	Mr Awni Darweesh Shahait, MD
	305 W Jackson St Ste 206, Carbondale, IL 62901-1474
	(618) 457-3006
	(618) 457-3008

Map and Direction

Physician's Profile

Full Name	Mr Awni Darweesh Shahait
Gender	Male
Speciality	Surgery - Trauma Surgery
Location	305 W Jackson St Ste 206, Carbondale, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871972422
Provider Enumeration Date: 05/28/2015
Last Update Date: 10/03/2022

Medicare PECOS Information:

PECOS PAC ID: 4284936154
Enrollment ID: I20220908002216

Medical Identifiers

Medical identifiers for Mr Awni Darweesh Shahait such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871972422	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	036160126 (Illinois)	Secondary
2086S0102X	Surgery - Surgical Critical Care	036160126 (Illinois)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
2086S0127X	Surgery - Trauma Surgery	036160126 (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. Mr Awni Darweesh Shahait allows following entities to bill medicare on his behalf.

Entity Name	Southern Illinois Medical Services Nfp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595

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. Mr Awni Darweesh Shahait 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
Mr Awni Darweesh Shahait, MD Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 457-5200	Mr Awni Darweesh Shahait, MD 305 W Jackson St Ste 206, Carbondale, IL 62901-1474 Ph: (618) 457-3006

Reviews and Comments

Surgery Doctors in Carbondale, IL

Cristian Sorin Sarateanu, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 409 W Oak St, Carbondale, IL 62901 Phone: 618-536-2565 Fax: 618-536-2835
Dr. Cynthia Aks, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1237 E Main Suite C1, The Breast Center University Mall, Carbondale, IL 62901 Phone: 618-457-2281 Fax: 618-529-0573
Dr. Roy R Danks, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St Ste 206, Carbondale, IL 62901 Phone: 618-457-3006 Fax: 618-457-3008
Dr. Abraham El-sedfy, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St Ste 206, Carbondale, IL 62901 Phone: 618-457-3006 Fax: 618-457-3008
Dr. David D Clutts, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-549-5128
Dr. Satyadeep Bhattacharya, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St Ste 206, Carbondale, IL 62901 Phone: 618-457-3006 Fax: 618-457-3008
Lynn Scott Cook, MD Surgery Medicare: Medicare Enrolled Practice Location: 409 W Oak St Ste 202, Carbondale, IL 62901 Phone: 618-529-0555 Fax: 618-529-0556

Mr Awni Darweesh Shahait, MD - Medicare Surgery in Carbondale, IL