Dr Mahmoud Mohamed, MD in Evergreen Park, IL

Dr Mahmoud Mohamed, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Evergreen Park, Illinois. His current practice location is 9125 S Pulaski Rd, Evergreen Park, Illinois. You can reach out to his office (for appointments etc.) via phone at (708) 422-7715.

Dr Mahmoud Mohamed is licensed to practice in Illinois (license number 036167476) 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 1588213094.

Contact Information

	Dr Mahmoud Mohamed, MD
	9125 S Pulaski Rd, Evergreen Park, IL 60805-1441
	(708) 422-7715
	(708) 422-7816

Map and Direction

Physician's Profile

Full Name	Dr Mahmoud Mohamed
Gender	Male
Speciality	Internal Medicine - Nephrology
Location	9125 S Pulaski Rd, Evergreen Park, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588213094
Provider Enumeration Date: 09/06/2019
Last Update Date: 07/31/2024

Medicare PECOS Information:

PECOS PAC ID: 3476957978
Enrollment ID: I20240709002224

Medical Identifiers

Medical identifiers for Dr Mahmoud Mohamed such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588213094	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	T-4355 (Mississippi)	Secondary
207RN0300X	Internal Medicine - Nephrology	036167476 (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 Mahmoud Mohamed allows following entities to bill medicare on his behalf.

Entity Name	North Mississippi Medical Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972608347 PECOS PAC ID: 9931010600 Enrollment ID: O20040413000541

Entity Name	Relias Hospitalist Medicine Specialists Of Amory Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205470796 PECOS PAC ID: 0143656165 Enrollment ID: O20200210002414

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 Mahmoud Mohamed 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 Mahmoud Mohamed, MD 9125 S Pulaski Rd, Evergreen Park, IL 60805-1441 Ph: (708) 422-7715	Dr Mahmoud Mohamed, MD 9125 S Pulaski Rd, Evergreen Park, IL 60805-1441 Ph: (708) 422-7715

Reviews and Comments

Internal Medicine Doctors in Evergreen Park, IL

Dr. Thomas Bump, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3545 W 95th St, Evergreen Park, IL 60805 Phone: 708-346-5562 Fax: 708-346-2059
Dolores Dixon-grevious, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2850 W 95th St, Suite 301, Evergreen Park, IL 60805 Phone: 708-389-2200 Fax: 708-389-6686
Vinitha Raghavan, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3358 W 95th St, Evergreen Park, IL 60805 Phone: 708-952-3040 Fax: 708-952-3043
Wassim Ballany, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3545 W 95th St, Evergreen Park, IL 60805 Phone: 708-346-5562
Dr. George Sousanieh, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 9125 S Pulaski Rd, Evergreen Park, IL 60805 Phone: 708-422-7715
Dr. John H Burke, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3545 W 95th St, Evergreen Park, IL 60805 Phone: 708-346-5562 Fax: 708-346-2059
Dr. Richard D. Kern, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 2800 W 95th St, Pulmonary Medicine Consultants, Ltd., Evergreen Park, IL 60805 Phone: 708-424-9288

Dr Mahmoud Mohamed, MD - Medicare Internal Medicine in Evergreen Park, IL