| Dr Fadi M Mustapha, MD | |
|
215 E 1st St, Dixon, IL 61021 | |
| (815) 285-5843 | |
| (815) 285-5846 |
| Full Name | Dr Fadi M Mustapha |
|---|---|
| Gender | Male |
| Speciality | Gastroenterology |
| Experience | 27 Years |
| Location | 215 E 1st St, Dixon, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508801986 | NPI | - | NPPES |
| K28334 | Other | IL | MEDICARE |
| 036-115681 | Other | IL | ILLINOIS MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 036-115681 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Katherine Shaw Bethea Hospital | Dixon, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Osf Multi-specialty Group | 3678889789 | 1848 |
| Entity Name | Ksb Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073592119 PECOS PAC ID: 7911890009 Enrollment ID: O20040203000860 |
| Entity Name | Katherine Shaw Bethea Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427043546 PECOS PAC ID: 2264480037 Enrollment ID: O20081218000029 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Fadi M Mustapha, MD 215 E 1st St, Dixon, IL 61021-3175 Ph: (815) 285-5843 | Dr Fadi M Mustapha, MD 215 E 1st St, Dixon, IL 61021 Ph: (815) 285-5843 |
Abdulhamid H Alkhalaf, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 215 E 1st St Ste 310, Dixon, IL 61021 Phone: 815-285-5979 Fax: 815-285-5845 | |
Eric Gale, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 215 E 1st St, Suite 214, Dixon, IL 61021 Phone: 815-284-1600 | |
Dr. Danca Luchici, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 1321 N Galena Ave, Dixon, IL 61021 Phone: 815-625-4790 | |
Philippa M Devenney, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 403 E. 1st Street, Katherine Shaw Bethea Hospital, Dixon, IL 61021 Phone: 815-285-5629 Fax: 815-285-5634 | |
Dr. Dara Grennan, Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 403 E 1st St, Dixon, IL 61021 Phone: 815-285-5629 Fax: 815-285-5634 | |
Dr. Lionel B Wong, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 215 E 1st St, Ste 211, Dixon, IL 61021 Phone: 815-285-5843 Fax: 815-285-5846 |