Fadel Ahmed Bofarrag, MD, MPH - Medicare Internal Medicine in Springfield, IL

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Fadel Ahmed Bofarrag, MD, MPH is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Springfield, Illinois. His current practice location is 701 N 1st St Ste D434, Springfield, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 545-8000.

Fadel Ahmed Bofarrag is licensed to practice in Illinois (license number 036.170263) 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 1003291279.

Contact Information

Fadel Ahmed Bofarrag, MD, MPH
701 N 1st St Ste D434,
Springfield, IL 62702-3757
(217) 545-8000
(217) 545-7063

Map and Direction




Physician's Profile

Full NameFadel Ahmed Bofarrag
GenderMale
SpecialityInternal Medicine - Cardiovascular Disease
Location701 N 1st St Ste D434, Springfield, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003291279
  • Provider Enumeration Date: 07/29/2015
  • Last Update Date: 06/06/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3476852526
  • Enrollment ID: I20190115003399

Medical Identifiers

Medical identifiers for Fadel Ahmed Bofarrag such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003291279NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 2015014044 (Missouri)Secondary
207R00000XInternal Medicine 276951 (Massachusetts)Secondary
208M00000XHospitalist 276951 (Massachusetts)Secondary
207RC0000XInternal Medicine - Cardiovascular Disease 036.170263 (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. Fadel Ahmed Bofarrag allows following entities to bill medicare on his behalf.
Entity NameLahey Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538194980
PECOS PAC ID: 2264336528
Enrollment ID: O20031120000097
Entity NameLahey Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063447316
PECOS PAC ID: 2264336528
Enrollment ID: O20040629001269
Entity NameSteward Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629398219
PECOS PAC ID: 2860688728
Enrollment ID: O20101119000007
Entity NameSteward Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629398219
PECOS PAC ID: 2860688728
Enrollment ID: O20101119000332
Entity NameMassachusetts Acute Care Specialists Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306134812
PECOS PAC ID: 9234303082
Enrollment ID: O20111114000448
Entity NameBrigham & Womens Physicians Organization Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033535497
PECOS PAC ID: 3870405988
Enrollment ID: O20150107001260

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. Fadel Ahmed Bofarrag 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
Fadel Ahmed Bofarrag, MD, MPH
Po Box 19636,
Springfield, IL 62794-9636

Ph: (217) 545-8000		Fadel Ahmed Bofarrag, MD, MPH
701 N 1st St Ste D434,
Springfield, IL 62702-3757

Ph: (217) 545-8000

Reviews and Comments


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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.