Samir I Sayegh Sole Mbr is a medicare enrolled "Ophthalmology" provider in Champaign, Illinois. Their current practice location is
2151 S Neil St, Champaign, Illinois. You can reach out to their office (for appointments etc.) via phone at
(217) 352-2020.
Samir I Sayegh Sole Mbr is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Samir I Sayegh Sole Mbr
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1356663967.
Healthcare Provider's Profile
| Full Name | Samir I Sayegh Sole Mbr |
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| Type | Facility |
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| Speciality | Ophthalmology |
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| Location | 2151 S Neil St, Champaign, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1356663967
- Provider Enumeration Date: 02/23/2010
- Last Update Date: 10/26/2022
Medicare PECOS Information:
- PECOS PAC ID: 2860682952
- Enrollment ID: O20110317000404
Medical Identifiers
Medical identifiers for Samir I Sayegh Sole Mbr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356663967 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Samir I Sayegh Sole Mbr acts as a billing entity for following providers:
| Provider Name | Samir I. Sayegh |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1104918176
PECOS PAC ID: 5991747297
Enrollment ID: I20050526000496 |
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| Provider Name | Ronald D Miller |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1841280831
PECOS PAC ID: 5799813994
Enrollment ID: I20100510000160 |
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| Provider Name | James R Kresca |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1073694303
PECOS PAC ID: 7618163874
Enrollment ID: I20101130000655 |
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| Provider Name | Carly Marie Oslin |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1922362342
PECOS PAC ID: 0648490714
Enrollment ID: I20180430001435 |
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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. Samir I Sayegh Sole Mbr 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 |
|---|
Samir I Sayegh Sole Mbr
2151 S Neil St,
Champaign, IL 61820-7593
Ph: (217) 352-2020 | Samir I Sayegh Sole Mbr
2151 S Neil St,
Champaign, IL 61820-7593
Ph: (217) 352-2020 |
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