Dr Mohannad Rajjoub, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Watseka, Illinois. His current practice location is
200 E Fairman Ave, Watseka, Illinois. You can reach out to his office (for appointments etc.) via phone at
(815) 432-5841.
Dr Mohannad Rajjoub is licensed to practice in Illinois (license number 036-118894) 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 1255659587.
Physician's Profile
| Full Name | Dr Mohannad Rajjoub |
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| Gender | Male |
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| Speciality | Obstetrics & Gynecology |
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| Location | 200 E Fairman Ave, Watseka, 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: 1255659587
- Provider Enumeration Date: 05/11/2010
- Last Update Date: 12/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 3577757954
- Enrollment ID: I20120808000934
Medical Identifiers
Medical identifiers for Dr Mohannad Rajjoub such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1255659587 | NPI | - | NPPES |
| 036118894 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208M00000X | Hospitalist | 01098483A (Indiana) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 01098483A (Indiana) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 4301092218 (Michigan) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 036-118894 (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 Mohannad Rajjoub allows following entities to bill medicare on his behalf.
| Entity Name | Heartland Women's Healthcare Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851307532
PECOS PAC ID: 1759270648
Enrollment ID: O20040310001225 |
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| Entity Name | Danville Polyclinic, Ltd. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336181544
PECOS PAC ID: 3072404060
Enrollment ID: O20040320000701 |
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| Entity Name | Iroquois Memorial Hospital And Resident Home |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629003470
PECOS PAC ID: 4385551258
Enrollment ID: O20040517000306 |
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| Entity Name | Iroquois Memorial Hospital And Resident Home |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1629003470
PECOS PAC ID: 4385551258
Enrollment ID: O20230323000069 |
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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 Mohannad Rajjoub 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 |
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Dr Mohannad Rajjoub, MD
200 E Fairman Ave,
Watseka, IL 60970-1644
Ph: (815) 432-7775 | Dr Mohannad Rajjoub, MD
200 E Fairman Ave,
Watseka, IL 60970-1644
Ph: (815) 432-5841 |
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