Dr Ejaz Shamim, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Morton Grove, Illinois. He went to Southern Illinois University School Of Medicine and graduated in 1997 and has 29 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Dean Health Systems Inc, The Board Of Trustees Of The University Of Illinois, Madison Radiologists S C and his current practice location is
9224 Nagle Ave, Morton Grove, Illinois. You can reach out to his office (for appointments etc.) via phone at
(847) 966-7917.
Dr Ejaz Shamim is licensed to practice in Illinois (license number 036.104277) 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 1548251069.
Physician's Profile
| Full Name | Dr Ejaz Shamim |
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| Gender | Male |
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| Speciality | Diagnostic Radiology |
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| Experience | 29 Years |
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| Location | 9224 Nagle Ave, Morton Grove, 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:
- Dr Ejaz Shamim attended and graduated from Southern Illinois University School Of Medicine in 1997
NPI Data:
- NPI Number: 1548251069
- Provider Enumeration Date: 11/03/2005
- Last Update Date: 01/22/2014
Medicare PECOS Information:
- PECOS PAC ID: 5799785127
- Enrollment ID: I20241218001385
Medical Identifiers
Medical identifiers for Dr Ejaz Shamim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548251069 | NPI | - | NPPES |
| 200451430 | Medicaid | IN | |
| P00086529 | Other | IN | RR MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 036.104277 (Illinois) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | 01057985A (Indiana) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Dean Health Systems Inc | 7012827983 | 1194 |
| The Board Of Trustees Of The University Of Illinois | 3072422716 | 1161 |
| Madison Radiologists S C | 1951209311 | 60 |
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. Dr Ejaz Shamim allows following entities to bill medicare on his behalf.
| Entity Name | Dean Health Systems Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053358846
PECOS PAC ID: 7012827983
Enrollment ID: O20031105000584 |
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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. Dr Ejaz Shamim 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 |
|---|
Dr Ejaz Shamim, MD
9224 Nagle Ave,
Morton Grove, IL 60053-1428
Ph: (847) 966-7917 | Dr Ejaz Shamim, MD
9224 Nagle Ave,
Morton Grove, IL 60053-1428
Ph: (847) 966-7917 |
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