Dr Mahtab Tashakori, MD in Champaign, IL - Medicare Family Practice

Dr Mahtab Tashakori, MD is a medicare enrolled "Family Medicine" physician in Champaign, Illinois. She graduated from medical school in 1998 and has 26 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Saint Anthony Medical Center and her current practice location is 1802 South Mattis Ave, Champaign, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 326-1220.

Dr Mahtab Tashakori is licensed to practice in Illinois (license number 036113377) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1508895780.

Contact Information

	Dr Mahtab Tashakori, MD
	1802 South Mattis Ave, Champaign, IL 61821
	(217) 326-1220
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Mahtab Tashakori
Gender	Female
Speciality	Family Practice
Experience	26 Years
Location	1802 South Mattis Ave, Champaign, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Mahtab Tashakori graduated from medical school in 1998

NPI Data:

NPI Number: 1508895780
Provider Enumeration Date: 07/01/2006
Last Update Date: 11/02/2009

Medicare PECOS Information:

PECOS PAC ID: 1355366246
Enrollment ID: I20061027000240

Medical Identifiers

Medical identifiers for Dr Mahtab Tashakori such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508895780	NPI	-	NPPES
834340	Other	IL	MEDICARE GROUP NUMBER
553180	Other	IL	MEDICARE GROUP NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	036113377 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Saint Anthony Medical Center For Home Care	Rockford, IL	Home health agency
Osf Saint Anthony Medical Center	Rockford, IL	Hospital
Swedish American Hospital	Rockford, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Saint Anthony Medical Center	5496654006	42

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 Mahtab Tashakori allows following entities to bill medicare on her behalf.

Entity Name	Saint Anthony Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942248802 PECOS PAC ID: 5496654006 Enrollment ID: O20040102000555

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

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 Mahtab Tashakori 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 Mahtab Tashakori, MD Po Box 6002, Urbana, IL 61803-6002 Ph: (217) 337-4105	Dr Mahtab Tashakori, MD 1802 South Mattis Ave, Champaign, IL 61821 Ph: (217) 326-1220

Reviews and Comments

Family Medicine Doctors in Champaign, IL

Elizabeth A Ackerson, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 Curtis Rd, Champaign, IL 61822 Phone: 217-365-6203
Dr. Robert K. Kuramoto, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 101 W University Ave, Champaign, IL 61820 Phone: 217-366-1243
Dr. Corinne E Kohler, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 819 Bloomington Rd, Champaign, IL 61820 Phone: 217-356-1558
Dr. Irshad Ahmed Siddiqui, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1801 W Windsor Rd, Champaign, IL 61822 Phone: 217-366-8130
Dr. Kyle Alan Cassidy-wescott, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 Curtis Rd, Champaign, IL 61822 Phone: 217-365-6203
John R Sellett, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1701 W Curtis Road, Family Medicine/convenient Care, Champaign, IL 61822 Phone: 217-365-6201 Fax: 217-326-1234
Steve Gentry, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 W. Curtis Rd., Champaign, IL 61822 Phone: 217-365-6201 Fax: 217-326-4003

Dr Mahtab Tashakori, MD - Medicare Family Practice in Champaign, IL