Dr Soha Ramadan, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Evanston, Illinois. Her current practice location is
2650 Ridge Ave, Department Of Pathology, Room 1904, Evanston, Illinois. You can reach out to her office (for appointments etc.) via phone at
(847) 570-2955.
Dr Soha Ramadan is licensed to practice in Illinois (license number 125.083118) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1174206114.
Physician's Profile
Full Name | Dr Soha Ramadan |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 2650 Ridge Ave, Evanston, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1174206114
- Provider Enumeration Date: 08/08/2023
- Last Update Date: 05/29/2025
Medicare PECOS Information:
- PECOS PAC ID: 7618330630
- Enrollment ID: I20250605000610
Medical Identifiers
Medical identifiers for Dr Soha Ramadan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174206114 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ZP0101X | Pathology - Anatomic Pathology | 036.172377 (Illinois) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 036172377 (Illinois) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 125.083118 (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 Soha Ramadan allows following entities to bill medicare on her behalf.
Entity Name | Northwestern Medical Faculty Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
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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 Soha Ramadan 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 Soha Ramadan, MD 2650 Ridge Ave, Department Of Pathology, Room 1904, Evanston, IL 60201 Ph: (847) 570-2747 | Dr Soha Ramadan, MD 2650 Ridge Ave, Department Of Pathology, Room 1904, Evanston, IL 60201 Ph: (847) 570-2955 |
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