Mohammad G Soud, MD in Peoria, IL

Mohammad G Soud, MD is a medicare enrolled "Pediatrics" physician in Peoria, Illinois. His current practice location is 6012 N Teal Wood Cir, Peoria, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 691-9312.

Mohammad G Soud is licensed to practice in Illinois (license number 36091049) 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 1902016256.

Contact Information

	Mohammad G Soud, MD
	6012 N Teal Wood Cir, Peoria, IL 61615-2231
	(309) 691-9312
	Not Available

Map and Direction

Physician's Profile

Full Name	Mohammad G Soud
Gender	Male
Speciality	Pediatrics
Location	6012 N Teal Wood Cir, Peoria, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902016256
Provider Enumeration Date: 05/23/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8123552932
Enrollment ID: I20241114004491

Medical Identifiers

Medical identifiers for Mohammad G Soud such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902016256	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	36091049 (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. Mohammad G Soud allows following entities to bill medicare on his behalf.

Entity Name	Saint Anthony Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942248802 PECOS PAC ID: 5496654006 Enrollment ID: O20040102000555

Entity Name	Osf Multi-specialty Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279

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. Mohammad G Soud 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
Mohammad G Soud, MD 6012 N Teal Wood Cir, Peoria, IL 61615-2231 Ph: (309) 691-9312	Mohammad G Soud, MD 6012 N Teal Wood Cir, Peoria, IL 61615-2231 Ph: (309) 691-9312

Reviews and Comments

Pediatrics Doctors in Peoria, IL

Thomas James Mcmorrow, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2553 Fax: 309-655-2602
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Kelsey Elizabeth Grimes, DO Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2000
Jessica N Mistretta, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 8600 State Route 91 Ste 200, Peoria, IL 61615 Phone: 309-692-1030 Fax: 309-691-3241
Mrs. Valeria Claudia Benavides Lopez, M.D., M.P.H. Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-624-3313
Dr. Gretchen L Kopec, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-624-0615
Dr. Patrick Joseph Rizzuto Iii, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-671-3000

Mohammad G Soud, MD - Medicare Pediatrics in Peoria, IL