Dr Ibrahim Shamsi, DO - Medicare Pediatrics in Peoria, IL

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Dr Ibrahim Shamsi, DO is a medicare enrolled "Pediatrics" physician in Peoria, Illinois. His current practice location is 530 Ne Glen Oak Ave, Peoria, Illinois. You can reach out to his office (for appointments etc.) via phone at (800) 599-7337.

Dr Ibrahim Shamsi is licensed to practice in Illinois (license number 125.057513) 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 1710207105.

Contact Information

Dr Ibrahim Shamsi, DO
530 Ne Glen Oak Ave,
Peoria, IL 61637-0001
(800) 599-7337
Not Available

Map and Direction




Physician's Profile

Full NameDr Ibrahim Shamsi
GenderMale
SpecialityPediatrics
Location530 Ne Glen Oak Ave, Peoria, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1710207105
  • Provider Enumeration Date: 06/08/2010
  • Last Update Date: 06/08/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 5597991646
  • Enrollment ID: I20131119000722

Medical Identifiers

Medical identifiers for Dr Ibrahim Shamsi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710207105NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 125.057513 (Illinois)Primary

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 Ibrahim Shamsi allows following entities to bill medicare on his behalf.
Entity NamePekin Prohealth Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932150299
PECOS PAC ID: 1951214576
Enrollment ID: O20031110000647
Entity NameMethodist Medical Center Of Illinois
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982656575
PECOS PAC ID: 1355259714
Enrollment ID: O20031126000494
Entity NameProctor Health Systems
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134173917
PECOS PAC ID: 3476440173
Enrollment ID: O20040227000906
Entity NameCarle Health Care Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154653947
PECOS PAC ID: 3577515774
Enrollment ID: O20100513000829

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 Ibrahim Shamsi 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 Ibrahim Shamsi, DO
7 Chippewa Ct,
Burr Ridge, IL 60527-0814

Ph: (630) 430-6786		Dr Ibrahim Shamsi, DO
530 Ne Glen Oak Ave,
Peoria, IL 61637-0001

Ph: (800) 599-7337

Reviews and Comments


Pediatrics Doctors in Peoria, IL

Thomas James Mcmorrow, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637
Phone: 309-655-2553    Fax: 309-655-2602
Jessica Ford-davis, D.O.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637
Phone: 309-655-2274    
Kelsey Elizabeth Grimes, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637
Phone: 309-655-2000    
Jessica N Mistretta, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 8600 State Route 91 Ste 200, Peoria, IL 61615
Phone: 309-692-1030    Fax: 309-691-3241
Mrs. Valeria Claudia Benavides Lopez, M.D., M.P.H.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637
Phone: 309-624-3313    
Dr. Gretchen L Kopec, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637
Phone: 309-624-0615    
Dr. Patrick Joseph Rizzuto Iii, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637
Phone: 309-671-3000    

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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.

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