Idries Abdur-rahman, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Ottawa, Illinois. He went to Rush Medical College Of Rush University and graduated in 2002 and has 24 years of diverse experience with area of expertise as Obstetrics/gynecology. His current practice location is
1300 Starfire Dr, Suite B, Ottawa, Illinois. You can reach out to his office (for appointments etc.) via phone at
(815) 434-2229.
Idries Abdur-rahman is licensed to practice in Illinois (license number 036114960) 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 1891727236.
Physician's Profile
| Full Name | Idries Abdur-rahman |
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| Gender | Male |
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| Speciality | Obstetrics/gynecology |
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| Experience | 24 Years |
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| Location | 1300 Starfire Dr, Ottawa, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Idries Abdur-rahman attended and graduated from Rush Medical College Of Rush University in 2002
NPI Data:
- NPI Number: 1891727236
- Provider Enumeration Date: 07/07/2006
- Last Update Date: 09/05/2012
Medicare PECOS Information:
- PECOS PAC ID: 4688671332
- Enrollment ID: I20240223002043
Medical Identifiers
Medical identifiers for Idries Abdur-rahman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1891727236 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 036114960 (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. Idries Abdur-rahman allows following entities to bill medicare on his behalf.
| Entity Name | Governor Juan F Luis Hospital & Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972503647
PECOS PAC ID: 1153233804
Enrollment ID: O20070515000578 |
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| Entity Name | The Womens Wellness Group, Professional LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316641707
PECOS PAC ID: 8729527049
Enrollment ID: O20240829003205 |
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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. Idries Abdur-rahman 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 |
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Idries Abdur-rahman, MD
1300 Starfire Dr, Suite B,
Ottawa, IL 61350-1624
Ph: (815) 434-2229 | Idries Abdur-rahman, MD
1300 Starfire Dr, Suite B,
Ottawa, IL 61350-1624
Ph: (815) 434-2229 |
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