Dr Sisay Michael Abraham, MD - Medicare Family Practice in Alton, IL

Dr Sisay Michael Abraham, MD is a medicare enrolled "Family Medicine" physician in Alton, Illinois. He went to Meharry Medical College School Of Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Fairview Heights Medical Group Sc and his current practice location is 2 Memorial Dr Ste 220, Alton, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 474-1723.

Dr Sisay Michael Abraham is licensed to practice in Illinois (license number 036152633) 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 1184088312.

Contact Information

Dr Sisay Michael Abraham, MD
2 Memorial Dr Ste 220,
Alton, IL 62002-6723
(618) 474-1723
Not Available

Map and Direction




Physician's Profile

Full NameDr Sisay Michael Abraham
GenderMale
SpecialityFamily Practice
Experience8 Years
Location2 Memorial Dr Ste 220, Alton, 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 Sisay Michael Abraham attended and graduated from Meharry Medical College School Of Medicine in 2016
  NPI Data:
  • NPI Number: 1184088312
  • Provider Enumeration Date: 04/13/2016
  • Last Update Date: 03/08/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6800182759
  • Enrollment ID: I20200812002963

Medical Identifiers

Medical identifiers for Dr Sisay Michael Abraham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184088312NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 036152633 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Bjc Home Care ServicesSaint louis, MOHome health agency
Alton Memorial HospitalAlton, ILHospital
Christian Hospital NortheastSaint louis, MOHospital
Barnes-jewish St Peters HospitalSaint peters, MOHospital
Memorial HospitalBelleville, ILHospital
Jersey Community HospitalJerseyville, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fairview Heights Medical Group Sc6800784083342

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 Sisay Michael Abraham allows following entities to bill medicare on his behalf.
Entity NameFairview Heights Medical Group Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679503668
PECOS PAC ID: 6800784083
Enrollment ID: O20040309000650

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 Sisay Michael Abraham 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 Sisay Michael Abraham, MD
2 Memorial Dr Ste 220,
Alton, IL 62002-6723

Ph: (618) 474-1723
Dr Sisay Michael Abraham, MD
2 Memorial Dr Ste 220,
Alton, IL 62002-6723

Ph: (618) 474-1723

Reviews and Comments


Family Medicine Doctors in Alton, IL

Dr. Juletta Avagyan, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1 Memorial Dr, Alton, IL 62002
Phone: 618-463-7240    Fax: 618-463-7216
Dr. Bryan Everett Steele, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4 Memorial Dr Ste 210, Alton, IL 62002
Phone: 618-463-5905    Fax: 618-463-5935
Puja Gurung, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4 Memorial Dr Ste 230, Alton, IL 62002
Phone: 618-433-6616    
Manju Ramchandani, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: #2 Saint Anthony's Way, Suite 205, Alton, IL 62002
Phone: 618-465-8019    Fax: 618-463-5004
Mr. William P Robinson Jr., MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 815 E 5th Street, Suite 209, Alton, IL 62002
Phone: 618-463-0561    Fax: 618-465-9281
Dr. Anne Ugabi, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1 Memorial Dr, Alton, IL 62002
Phone: 618-463-7311    
Dr. Danny Sarwat Shehata, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1 Memorial Dr, Alton, IL 62002
Phone: 618-463-7311    

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).

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