Dr Tesfu Hailu, MD in Peoria, IL

Dr Tesfu Hailu, MD is a medicare enrolled "Dermatology - Dermatopathology" physician in Peoria, Illinois. He graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Soderstrom Dermatology Center S C., Soderstrom Dermatology Center S C. and his current practice location is 4909 N Glen Park Place Rd, Peoria, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 674-7546.

Dr Tesfu Hailu is licensed to practice in Illinois (license number 036151973) 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 1245490382.

Contact Information

	Dr Tesfu Hailu, MD
	4909 N Glen Park Place Rd, Peoria, IL 61614-4676
	(309) 674-7546
	(309) 691-9286

Map and Direction

Physician's Profile

Full Name	Dr Tesfu Hailu
Gender	Male
Speciality	Pathology
Experience	30 Years
Location	4909 N Glen Park Place Rd, Peoria, Illinois
Accepts Medicare Assignments	Yes. 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 Tesfu Hailu graduated from medical school in 1994

NPI Data:

NPI Number: 1245490382
Provider Enumeration Date: 06/12/2008
Last Update Date: 05/11/2020

Medicare PECOS Information:

PECOS PAC ID: 8628409240
Enrollment ID: I20200515001193

Medical Identifiers

Medical identifiers for Dr Tesfu Hailu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245490382	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ND0900X	Dermatology - Dermatopathology	036151973 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Soderstrom Dermatology Center S C.	2062432651	28
Soderstrom Dermatology Center S C.	2062432651	28

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 Tesfu Hailu allows following entities to bill medicare on his behalf.

Entity Name	Soderstrom Dermatology Center S C.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710931670 PECOS PAC ID: 2062432651 Enrollment ID: O20051128000693

Entity Name	Midwest Dermpath Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194591529 PECOS PAC ID: 7416300256 Enrollment ID: O20240129002946

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 Tesfu Hailu 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 Tesfu Hailu, MD 4909 N Glen Park Place Rd, Peoria, IL 61614-4689 Ph: (309) 674-7546	Dr Tesfu Hailu, MD 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 Ph: (309) 674-7546

Reviews and Comments

Dermatology Doctors in Peoria, IL

Dr. Carl William Soderstrom Jr., M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4909 N Glen Park Place Rd, Peoria, IL 61614 Phone: 309-674-7546
Dr. Janeen Noelle Buonaccorsi, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-624-9052
Christopher T Kroodsma, M.D. Dermatology Medicare: May Accept Medicare Assignments Practice Location: 5401 N Knoxville Ave, Suite 115, Peoria, IL 61614 Phone: 309-691-2903 Fax: 309-691-2909
Ashley Steffens, Dermatology Medicare: May Accept Medicare Assignments Practice Location: 5401 N Knoxville Ave, Peoria, IL 61614 Phone: 093-691-2903 Fax: 309-691-2909
Harry C Stone, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 5401 N Knoxville Ave, Suite 115, Peoria, IL 61614 Phone: 309-691-2903
Jamie Lynn Frey, MD Dermatology Medicare: May Accept Medicare Assignments Practice Location: 5401 N Knoxville Ave, Suite 115, Peoria, IL 61614 Phone: 309-691-2903 Fax: 309-691-2909

Dr Tesfu Hailu, MD - Medicare Pathology in Peoria, IL