Mohammad Tabatabaei, PA-C is a medicare enrolled "Physician Assistant" in Sullivan, Illinois. He graduated from nursing school in 2004 and has 20 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Decatur Memorial Hospital and his current practice location is
1220 W Jackson St, Sullivan, Illinois. You can reach out to his office (for appointments etc.) via phone at
(217) 728-2042.
Mohammad Tabatabaei is licensed to practice in Illinois (license number 085-002332) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1215954813.
Provider's Profile
| Full Name | Mohammad Tabatabaei |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 20 Years |
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| Location | 1220 W Jackson St, Sullivan, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mohammad Tabatabaei graduated from nursing school in 2004
NPI Data:
- NPI Number: 1215954813
- Provider Enumeration Date: 07/17/2006
- Last Update Date: 01/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 5092771535
- Enrollment ID: I20041206001120
Medical Identifiers
Medical identifiers for Mohammad Tabatabaei such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215954813 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 085-002332 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Decatur Memorial Hospital | 6204731144 | 135 |
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. Mohammad Tabatabaei 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 |
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Mohammad Tabatabaei, PA-C
2300 N Edward St, Gsbll,
Decatur, IL 62526-4163
Ph: (217) 876-2857 | Mohammad Tabatabaei, PA-C
1220 W Jackson St,
Sullivan, IL 61951-1032
Ph: (217) 728-2042 |
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