| Moamen Mohammad Al Zoubi, MD | |
|
2400 N Rockton Ave, Rockford, IL 61103-3655 | |
| (815) 971-5000 | |
| (815) 971-9537 |
| Full Name | Moamen Mohammad Al Zoubi |
|---|---|
| Gender | Male |
| Speciality | Infectious Disease |
| Experience | 14 Years |
| Location | 2400 N Rockton Ave, Rockford, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770902587 | NPI | - | NPPES |
| 036148372 | Other | IL | STATE LICENSE |
| 1770902587 | Medicaid | WI |
| Facility Name | Location | Facility Type |
|---|---|---|
| Javon Bea Hospital | Rockford, IL | Hospital |
| East Orange General Hospital | East orange, NJ | Hospital |
| Ssm Health St Mary's Hospital - Madison | Madison, WI | Hospital |
| Ssm Health St Clare Hospital - Baraboo | Baraboo, WI | Hospital |
| Great Plains Health | North platte, NE | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Health System Corporation | 7416860440 | 757 |
| Rural Physicians Group-pannu Pllc | 0345467486 | 132 |
| Olmsted Medical Center | 8527970060 | 314 |
| Rural Physicians Group-pannu Pllc | 0345467486 | 132 |
| River's Edge Hospital And Clinic | 7214849397 | 27 |
| Rockford Health Physicians | 2567374036 | 518 |
| Eoh Acquisition Group, Llc | 4082009717 | 44 |
| Rural Physicians Group-pannu Pllc | 0345467486 | 132 |
| Rural Physicians Group-pannu Pllc | 0345467486 | 132 |
| Dean Health Systems Inc | 7012827983 | 1194 |
| Rural Physicians Group-pannu Pllc | 0345467486 | 132 |
| Rural Physicians Group-pannu Pllc | 0345467486 | 132 |
| Rural Physicians Group-pannu Pllc | 0345467486 | 132 |
| North Platte Nebraska Hospital Corporation | 6507856697 | 236 |
| Mercy Health System Corporation | 7416860440 | 757 |
| Entity Name | Dean Health Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053358846 PECOS PAC ID: 7012827983 Enrollment ID: O20031105000584 |
| Entity Name | Mercy Health System Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
| Entity Name | Rural Physicians Group-pannu Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891236584 PECOS PAC ID: 0345467486 Enrollment ID: O20170327000054 |
| Mailing Address | Practice Location Address |
|---|---|
| Moamen Mohammad Al Zoubi, MD 55 Lake Ave N, Worcester, MA 01655-0002 Ph: () - | Moamen Mohammad Al Zoubi, MD 2400 N Rockton Ave, Rockford, IL 61103-3655 Ph: (815) 971-5000 |
Balarama Krishna Surapaneni, Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 5666 E State St, Rockford, IL 61108 Phone: 815-226-2000 | |
Dr. Adekola Abioudun Ashaye, MD Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600 Fax: 815-490-1881 | |
Prasad K. Kilaru, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 2350 N Rockton Ave, Rockford, IL 61103 Phone: 815-971-2000 | |
David R. Mitchell, MD Infectious Disease Medicare: Medicare Enrolled Practice Location: 5970 Churchview Dr, Rockford, IL 61107 Phone: 815-971-2000 | |
Dr. Amrutha Mary George, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1253 N Alpine Rd, Rockford, IL 61107 Phone: 779-696-9201 | |
Rukayat Olubunmi Otulana, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 698 Featherstone Rd # 250, Rockford, IL 61107 Phone: 815-399-4404 | |
Rajyalaxmi Mullapudi, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 5666 E State St, Rockford, IL 61108 Phone: 815-226-2000 |