Dr Paul A Toofan, MD - Medicare Emergency Medicine in Effingham, IL

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Dr Paul A Toofan, MD is a medicare enrolled "Emergency Medicine" physician in Effingham, Illinois. He went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 2002 and has 22 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Toofan Medical Holdings Ltd and his current practice location is 1001 Avenue Of Mid America, Suite 4, Effingham, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 994-9301.

Dr Paul A Toofan is licensed to practice in Illinois (license number 036112112) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1013989805.

Contact Information

Dr Paul A Toofan, MD
1001 Avenue Of Mid America, Suite 4,
Effingham, IL 62401-4634
(217) 994-9301
(217) 994-9304

Map and Direction




Physician's Profile

Full NameDr Paul A Toofan
GenderMale
SpecialityEmergency Medicine
Experience22 Years
Location1001 Avenue Of Mid America, Effingham, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Paul A Toofan attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 2002
  NPI Data:
  • NPI Number: 1013989805
  • Provider Enumeration Date: 02/06/2006
  • Last Update Date: 06/25/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6204867419
  • Enrollment ID: I20050827000145

Medical Identifiers

Medical identifiers for Dr Paul A Toofan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013989805NPI-NPPES
036112112MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 036112112 (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Toofan Medical Holdings Ltd680002600614

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 Paul A Toofan allows following entities to bill medicare on his behalf.
Entity NameMercy Health System Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598718603
PECOS PAC ID: 7416860440
Enrollment ID: O20031111000307
Entity NameCepamerica Illinois Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912283110
PECOS PAC ID: 3274793633
Enrollment ID: O20120322000587
Entity NameToofan Medical Holdings Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396179693
PECOS PAC ID: 6800026006
Enrollment ID: O20140310001343
Entity NameVituity - Illinois Auc Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306334198
PECOS PAC ID: 0547516932
Enrollment ID: O20180627000637

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 Paul A Toofan 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 Paul A Toofan, MD
1001 Avenue Of Mid America, Suite 4,
Effingham, IL 62401-4634

Ph: (217) 994-9301		Dr Paul A Toofan, MD
1001 Avenue Of Mid America, Suite 4,
Effingham, IL 62401-4634

Ph: (217) 994-9301

Reviews and Comments


Emergency Medicine Doctors in Effingham, IL

James Ellis, D.O., FACEP
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 503 N Maple St, Effingham, IL 62401
Phone: 217-337-2000    
Gloria Huckeby, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 503 N Maple St, Effingham, IL 62401
Phone: 217-342-2121    
Bashar Alzahabi, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 900 W Temple Ave, Ste 103, Effingham, IL 62401
Phone: 515-964-2772    
Larry Lambert, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 503 N Maple St, Effingham, IL 62401
Phone: 217-342-2121    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.