Osama Al Deyabat, MBBS in Peoria, IL - Medicare Ophthalmology

Osama Al Deyabat, MBBS is a medicare enrolled "Ophthalmology - Pediatric Ophthalmology And Strabismus Specialist" physician in Peoria, Illinois. His current practice location is 4927 N Glen Park Place Rd, Peoria, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 308-3500.

Osama Al Deyabat is licensed to practice in Illinois (license number 036171176) 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 1174255053.

Contact Information

	Osama Al Deyabat, MBBS
	4927 N Glen Park Place Rd, Peoria, IL 61614-4676
	(309) 308-3500
	Not Available

Map and Direction

Physician's Profile

Full Name	Osama Al Deyabat
Gender	Male
Speciality	Ophthalmology - Pediatric Ophthalmology And Strabismus Specialist
Location	4927 N Glen Park Place Rd, Peoria, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174255053
Provider Enumeration Date: 06/29/2022
Last Update Date: 09/23/2024

Medicare PECOS Information:

PECOS PAC ID: 3072995547
Enrollment ID: I20240821004401

Medical Identifiers

Medical identifiers for Osama Al Deyabat such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174255053	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207W00000X	Ophthalmology	036171176 (Illinois)	Secondary
207WX0109X	Ophthalmology - Neuro-ophthalmology	036171176 (Illinois)	Secondary
207WX0110X	Ophthalmology - Pediatric Ophthalmology And Strabismus Specialist	036171176 (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. Osama Al Deyabat allows following entities to bill medicare on his behalf.

Entity Name	The Board Of Trustees Of The University Of Illinois
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158

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. Osama Al Deyabat 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
Osama Al Deyabat, MBBS 1601 W Coneflower Dr Apt 4302, Peoria, IL 61615-7438 Ph: (312) 774-1080	Osama Al Deyabat, MBBS 4927 N Glen Park Place Rd, Peoria, IL 61614-4676 Ph: (309) 308-3500

Reviews and Comments

Ophthalmology Doctors in Peoria, IL

Colin J Scott, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 8921 N Wood Sage Rd, Peoria, IL 61615 Phone: 309-243-3869 Fax: 309-243-7918
Dr. Steven J Lichtenstein, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 8921 N. Wood Sage Rd., Peoria, IL 61615 Phone: 309-243-2400 Fax: 309-243-7918
Dr. John P Rhode, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 8921 N. Wood Sage Rd., Peoria, IL 61615 Phone: 309-243-2400 Fax: 309-243-7918
Dr. Thomas M Wyman, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 8921 N. Wood Sage Rd., Peoria, IL 61615 Phone: 309-243-2400 Fax: 309-243-7918
Dr. Parashos A Lagouros, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 8921 N. Wood Sage Rd., Peoria, IL 61615 Phone: 309-243-2433 Fax: 309-243-7918
Stephen J Eyler, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 8921 N Wood Sage Rd, Peoria, IL 61615 Phone: 309-243-2400 Fax: 309-243-7918

Osama Al Deyabat, MBBS - Medicare Ophthalmology in Peoria, IL