Mohamed Chebaclo, MD - Medicare Internal Medicine in Grand Forks, ND

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Mohamed Chebaclo, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Grand Forks, North Dakota. His current practice location is 1000 S Columbia Rd, Grand Forks, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 780-5000.

Mohamed Chebaclo is licensed to practice in North Dakota (license number 8707) 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 1386708931.

Contact Information

Mohamed Chebaclo, MD
1000 S Columbia Rd,
Grand Forks, ND 58201-4032
(701) 780-5000
Not Available

Map and Direction




Physician's Profile

Full NameMohamed Chebaclo
GenderMale
SpecialityInternal Medicine - Cardiovascular Disease
Location1000 S Columbia Rd, Grand Forks, North Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1386708931
  • Provider Enumeration Date: 12/20/2006
  • Last Update Date: 10/23/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 0648280172
  • Enrollment ID: I20180117000700

Medical Identifiers

Medical identifiers for Mohamed Chebaclo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386708931NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 8707 (North Dakota)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. Mohamed Chebaclo allows following entities to bill medicare on his behalf.
Entity NameAscension Medical Group-southeast Wisconsin Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609881077
PECOS PAC ID: 8628980943
Enrollment ID: O20031104000421
Entity NameMarshfield Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952347981
PECOS PAC ID: 2264345206
Enrollment ID: O20031106000590
Entity NameBeloit Health System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679616361
PECOS PAC ID: 8224947858
Enrollment ID: O20031215000424
Entity NameBeaver Dam Community Hospitals Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972188555
PECOS PAC ID: 2567370539
Enrollment ID: O20040210000666
Entity NameMemorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346239373
PECOS PAC ID: 2365433224
Enrollment ID: O20040519001426
Entity NameFlambeau Hospital, Inc.
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1700963048
PECOS PAC ID: 9032029871
Enrollment ID: O20070828000478
Entity NameMemorial Hospital Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1346239373
PECOS PAC ID: 2365433224
Enrollment ID: O20110526000807
Entity NameMchs Hospitals Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093221434
PECOS PAC ID: 5698071173
Enrollment ID: O20180208000096
Entity NameLakeview Medical Center Inc Of Rice Lake
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093201832
PECOS PAC ID: 6103737820
Enrollment ID: O20180817001484
Entity NameMchs Hospitals Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1952890873
PECOS PAC ID: 5698071173
Enrollment ID: O20180904002962
Entity NameFlambeau Hospital, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194317966
PECOS PAC ID: 9032029871
Enrollment ID: O20210409000059

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. Mohamed Chebaclo 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
Mohamed Chebaclo, MD
Po Box 6002,
Grand Forks, ND 58206-6002

Ph: (701) 780-5000		Mohamed Chebaclo, MD
1000 S Columbia Rd,
Grand Forks, ND 58201-4032

Ph: (701) 780-5000

Reviews and Comments


Internal Medicine Doctors in Grand Forks, ND

Iqbal Masood, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1300 S Columbia Rd, Grand Forks, ND 58201
Phone: 701-780-2300    
Dr. Marcin Szember, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 4440 S. Washington St. - Altru Professional Center, Grand Forks, ND 58201
Phone: 701-732-7000    
Antranik Mangardich, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1300 S Columbia Rd, Grand Forks, ND 58201
Phone: 701-780-2300    
Leslie M Klevay, MD
Cardiovascular Disease
Medicare: Not Enrolled in Medicare
Practice Location: Und Box 9037 Ppt, Grand Forks, ND 58201
Phone: 701-777-0000    
James Rese Wood, MD
Cardiovascular Disease
Medicare: Not Enrolled in Medicare
Practice Location: 1000 South Columbia Road, Grand Forks, ND 58206
Phone: 701-780-5000    Fax: 612-870-5857
Robert A Thompson, MD
Cardiovascular Disease
Medicare: Not Enrolled in Medicare
Practice Location: 1000 S Columbia Rd, Grand Forks, ND 58201
Phone: 701-780-6000    
Daniel J Walsh, MD
Cardiovascular Disease
Medicare: Not Enrolled in Medicare
Practice Location: 960 S Columbia Rd, Grand Forks, ND 58201
Phone: 701-780-6000    

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.