Dr Fazal Mohammad, MD - Medicare Family Medicine in Glendale Heights, IL

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Dr Fazal Mohammad, MD is a medicare enrolled "Family Medicine" physician in Glendale Heights, Illinois. His current practice location is 27 Dennison Dr, Glendale Heights, Illinois. You can reach out to his office (for appointments etc.) via phone at (630) 664-9273.

Dr Fazal Mohammad is licensed to practice in Michigan (license number 4301090321) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1043414097.

Contact Information

Dr Fazal Mohammad, MD
27 Dennison Dr,
Glendale Heights, IL 60139-1876
(630) 664-9273
Not Available

Map and Direction




Physician's Profile

Full NameDr Fazal Mohammad
GenderMale
SpecialityFamily Medicine
Location27 Dennison Dr, Glendale Heights, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043414097
  • Provider Enumeration Date: 06/13/2007
  • Last Update Date: 05/16/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 3971637224
  • Enrollment ID: I20100823000444

Medical Identifiers

Medical identifiers for Dr Fazal Mohammad such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043414097NPI-NPPES
1043414097MedicaidIN
200988900MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 4301090321 (Michigan)Primary
207P00000XEmergency Medicine 01068409A (Indiana)Secondary

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 Fazal Mohammad allows following entities to bill medicare on his behalf.
Entity NameEmergency Professionals Of Indiana Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013951219
PECOS PAC ID: 4183604150
Enrollment ID: O20040721000612
Entity NameNorthwest Hospitalist Physicians, Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023448321
PECOS PAC ID: 0244397693
Enrollment ID: O20140205000078
Entity NameNorth Indiana Emergency Physicians Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144691478
PECOS PAC ID: 5496064669
Enrollment ID: O20151029001047

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 Fazal Mohammad 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 Fazal Mohammad, MD
27 Dennison Dr,
Glendale Heights, IL 60139-1876

Ph: (630) 664-9273		Dr Fazal Mohammad, MD
27 Dennison Dr,
Glendale Heights, IL 60139-1876

Ph: (630) 664-9273

Reviews and Comments


Family Medicine Doctors in Glendale Heights, IL

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Phone: 630-545-5700    Fax: 630-545-5784
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Dr. Kathleen Talamayan, MD, MPH
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Phone: 630-226-1006    

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.