| Ahmed Hussain, MD | |
|
1644 W Colonial Pkwy, Inverness, IL 60067-1207 | |
| (847) 776-4500 | |
| Not Available |
| Full Name | Ahmed Hussain |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 43 Years |
| Location | 1644 W Colonial Pkwy, Inverness, Illinois |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396877767 | NPI | - | NPPES |
| 364013570 | Other | FEIN | |
| 01606276 | Other | IL | BCBS |
| 036086560 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 3311 (Wisconsin) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 036086560 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension Ne Wisconsin - St Elizabeth Campus | Appleton, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bhc Streamwood Hospital Inc | 1759291461 | 13 |
| Mental Health Emergency Center, Inc. | 3274916044 | 27 |
| Ascension Medical Group-fox Valley Wisconsin Inc | 0244142420 | 260 |
| Entity Name | Bhc Streamwood Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619916822 PECOS PAC ID: 1759291461 Enrollment ID: O20140324001101 |
| Entity Name | Burlington Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003599192 PECOS PAC ID: 8820443757 Enrollment ID: O20231013000085 |
| Mailing Address | Practice Location Address |
|---|---|
| Ahmed Hussain, MD 1644 W Colonial Pkwy, Inverness, IL 60067-1207 Ph: (847) 776-4500 | Ahmed Hussain, MD 1644 W Colonial Pkwy, Inverness, IL 60067-1207 Ph: (847) 776-4500 |
Jeffrey M Palacios, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1642 W Colonial Pkwy, Inverness, IL 60067 Phone: 847-749-0514 Fax: 847-221-8040 | |
Donald Fagerson, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1644 W Colonial Pkwy, Inverness, IL 60067 Phone: 847-358-1588 Fax: 847-358-1542 |