Shaji A Mohammed, - Medicare Internal Medicine in Mt. Vernon, IL

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Shaji A Mohammed, is a medicare enrolled "Internal Medicine" physician in Mt. Vernon, Illinois. His current practice location is 1 Good Samaritan Way, Mt. Vernon, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 899-1006.

Shaji A Mohammed is licensed to practice in Illinois (license number 036161378) 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 1316504939.

Contact Information

Shaji A Mohammed,
1 Good Samaritan Way,
Mt. Vernon, IL 62864-1010
(618) 899-1006
Not Available

Map and Direction




Physician's Profile

Full NameShaji A Mohammed
GenderMale
SpecialityInternal Medicine
Location1 Good Samaritan Way, Mt. Vernon, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1316504939
  • Provider Enumeration Date: 05/20/2019
  • Last Update Date: 06/26/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2163750712
  • Enrollment ID: I20220829001278

Medical Identifiers

Medical identifiers for Shaji A Mohammed such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316504939NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist 036161378 (Illinois)Secondary
207R00000XInternal Medicine 036161378 (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. Shaji A Mohammed allows following entities to bill medicare on his behalf.
Entity NameGood Samaritan Regional Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487758801
PECOS PAC ID: 1658272059
Enrollment ID: O20040119000325
Entity NameSt Marys Hospital Centralia Illinois
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770687196
PECOS PAC ID: 6709788920
Enrollment ID: O20040127000118
Entity NameBlessing Hospital
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1235656745
PECOS PAC ID: 3072422534
Enrollment ID: O20171016002218

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. Shaji A Mohammed 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 AddressPractice Location Address
Shaji A Mohammed,
1005 Broadway,
Quincy, IL 62301-2834

Ph: (217) 223-8400		Shaji A Mohammed,
1 Good Samaritan Way,
Mt. Vernon, IL 62864-1010

Ph: (618) 899-1006

Reviews and Comments


Internal Medicine Doctors in Mt. Vernon, IL

Dr. Stanton G Schultz, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 416 North 12th Street, Southern Illinois Consultants For Kidney Disease, S.c., Mt. Vernon, IL 62864
Phone: 618-244-4850    Fax: 618-244-7985
Dr. Fadi Michel Shamsham, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4115 S. Water Tower Place, Mt. Vernon, IL 62864
Phone: 618-204-5462    Fax: 618-204-5472

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.