Dr Fadi Michel Shamsham, MD - Medicare Interventional Cardiology in Mt. Vernon, IL

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Dr Fadi Michel Shamsham, MD is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Mt. Vernon, Illinois. He graduated from medical school in 1993 and has 31 years of diverse experience with area of expertise as Interventional Cardiology. He is a member of the group practice Good Samaritan Regional Health Center, Southern Illinois Heart And Vascular Center Pc and his current practice location is 4115 S. Water Tower Place, Mt. Vernon, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 204-5462.

Dr Fadi Michel Shamsham is licensed to practice in Illinois (license number 036123701) 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 1942203971.

Contact Information

Dr Fadi Michel Shamsham, MD
4115 S. Water Tower Place,
Mt. Vernon, IL 62864
(618) 204-5462
(618) 204-5472

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Physician's Profile

Full NameDr Fadi Michel Shamsham
GenderMale
SpecialityInterventional Cardiology
Experience31 Years
Location4115 S. Water Tower Place, Mt. Vernon, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Fadi Michel Shamsham graduated from medical school in 1993
  NPI Data:
  • NPI Number: 1942203971
  • Provider Enumeration Date: 05/23/2005
  • Last Update Date: 04/19/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 2264489947
  • Enrollment ID: I20090911000259

Medical Identifiers

Medical identifiers for Dr Fadi Michel Shamsham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942203971NPI-NPPES
036123701MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 036123701 (Illinois)Secondary
207RC0000XInternal Medicine - Cardiovascular Disease 036123701 (Illinois)Secondary
207RI0011XInternal Medicine - Interventional Cardiology 036123701 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ssm Health - Good Samaritan HospitalMount vernon, ILHospital
Ssm Health St Mary's Hospital -centraliaCentralia, ILHospital
Salem Township HospitalSalem, ILHospital
Clay County HospitalFlora, ILHospital
Crossroads Community HospitalMount vernon, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Good Samaritan Regional Health Center165827205959
Southern Illinois Heart And Vascular Center Pc48807490272

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 Fadi Michel Shamsham allows following entities to bill medicare on his behalf.
Entity NameGood Samaritan Regional Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487758801
PECOS PAC ID: 1658272059
Enrollment ID: O20040119000325
Entity NameSouthern Illinois Heart And Vascular Center Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497984389
PECOS PAC ID: 4880749027
Enrollment ID: O20090911000272

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 Fadi Michel Shamsham 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 AddressPractice Location Address
Dr Fadi Michel Shamsham, MD
4115 S. Water Tower Place, P.o.box 1003,
Mt. Vernon, IL 62864

Ph: (618) 204-5462		Dr Fadi Michel Shamsham, MD
4115 S. Water Tower Place,
Mt. Vernon, IL 62864

Ph: (618) 204-5462

Reviews and Comments


Internal Medicine Doctors in Mt. Vernon, IL

Dr. Stanton G Schultz, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 416 North 12th Street, Southern Illinois Consultants For Kidney Disease, S.c., Mt. Vernon, IL 62864
Phone: 618-244-4850    Fax: 618-244-7985

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.