Mohammad Zeina, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Palos Hills, Illinois. His current practice location is
11 Cour Madeleine, Palos Hills, Illinois. You can reach out to his office (for appointments etc.) via phone at
(708) 415-8255.
Mohammad Zeina is licensed to practice in Illinois (license number 209027826) 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 1669148359.
Provider's Profile
Full Name | Mohammad Zeina |
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Gender | Male |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 11 Cour Madeleine, Palos Hills, 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: 1669148359
- Provider Enumeration Date: 08/21/2021
- Last Update Date: 09/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 8820459043
- Enrollment ID: I20230803001400
Medical Identifiers
Medical identifiers for Mohammad Zeina such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669148359 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 041461382 (Illinois) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 209027826 (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. Mohammad Zeina allows following entities to bill medicare on his behalf.
Entity Name | Northshore University Healthsystem Faculty Practice Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
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Entity Name | Northstar Anesthesia Of Illinois, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1962822395 PECOS PAC ID: 4688893878 Enrollment ID: O20140922000405 |
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Entity Name | Novus Illinois Service Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1295491744 PECOS PAC ID: 6901293786 Enrollment ID: O20220426000454 |
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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. Mohammad Zeina 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 |
Mohammad Zeina, 11 Cour Madeleine, Palos Hills, IL 60465-2409 Ph: (708) 415-8255 | Mohammad Zeina, 11 Cour Madeleine, Palos Hills, IL 60465-2409 Ph: (708) 415-8255 |
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