Dr Mohamed E Nasr, MD is a medicare enrolled "Internal Medicine" physician in Lake Villa, Illinois. His current practice location is
213 S Milwaukee Ave, Lake Villa, Illinois. You can reach out to his office (for appointments etc.) via phone at
(847) 356-9009.
Dr Mohamed E Nasr is licensed to practice in Illinois (license number 036-058768) 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 1316063399.
Physician's Profile
| Full Name | Dr Mohamed E Nasr |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 213 S Milwaukee Ave, Lake Villa, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1316063399
- Provider Enumeration Date: 03/22/2007
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 1951495522
- Enrollment ID: I20080204000383
Medical Identifiers
Medical identifiers for Dr Mohamed E Nasr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316063399 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 036-058768 (Illinois) | Primary |
| 208600000X | Surgery | 036-058768 (Illinois) | Secondary |
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | 036058768 (Illinois) | Secondary |
| 208D00000X | General Practice | 036058768 (Illinois) | Secondary |
| 2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | 036058768 (Illinois) | Secondary |
| 207Q00000X | Family Medicine | 036058768 (Illinois) | 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 Mohamed E Nasr allows following entities to bill medicare on his behalf.
| Entity Name | Medical Care Center Of Lake Villa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811102353
PECOS PAC ID: 3870675572
Enrollment ID: O20080204000392 |
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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 Mohamed E Nasr 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 Mohamed E Nasr, MD
213 S Milwaukee Ave,
Lake Villa, IL 60046-8551
Ph: (847) 356-9009 | Dr Mohamed E Nasr, MD
213 S Milwaukee Ave,
Lake Villa, IL 60046-8551
Ph: (847) 356-9009 |
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