Mohammad Obaidullah, in Sheboygan, WI - Medicare Family Medicine

Mohammad Obaidullah, is a medicare enrolled "Family Medicine" physician in Sheboygan, Wisconsin. His current practice location is 3400 Union Ave, Sheboygan, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 802-2100.

Mohammad Obaidullah is licensed to practice in Wisconsin (license number 100869) 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 1942856778.

Contact Information

	Mohammad Obaidullah,
	3400 Union Ave, Sheboygan, WI 53081-8426
	(920) 802-2100
	Not Available

Map and Direction

Physician's Profile

Full Name	Mohammad Obaidullah
Gender	Male
Speciality	Family Medicine
Location	3400 Union Ave, Sheboygan, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942856778
Provider Enumeration Date: 08/16/2019
Last Update Date: 10/26/2023

Medicare PECOS Information:

PECOS PAC ID: 3476959339
Enrollment ID: I20210901002610

Medical Identifiers

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

Identifier	Type	State	Issuer
1942856778	NPI	-	NPPES
100246600	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	OT019678 (Pennsylvania)	Secondary
207R00000X	Internal Medicine	100869 (Wisconsin)	Secondary
207Q00000X	Family Medicine	100869 (Wisconsin)	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 Obaidullah allows following entities to bill medicare on his behalf.

Entity Name	Ars Treatment Centers Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346731171 PECOS PAC ID: 0042568131 Enrollment ID: O20180807000056

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 Obaidullah 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 Obaidullah, Po Box 735044, Chicago, IL 60673-8515 Ph: (920) 802-2100	Mohammad Obaidullah, 3400 Union Ave, Sheboygan, WI 53081-8426 Ph: (920) 802-2100

Reviews and Comments

Family Medicine Doctors in Sheboygan, WI

Dr. Thomas Matthew Ambelang, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461 Fax: 920-459-1145
Connor Hayes Harmann, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461
Ajhani Kesavan, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1411 N Taylor Dr, Sheboygan, WI 53081 Phone: 920-496-4700 Fax: 603-228-7307
Katie Gesch, D.O., M.S. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 3100 Superior Ave, Sheboygan, WI 53081 Phone: 920-496-4700
Natasha Verma, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461 Fax: 920-459-1483
Dr. James R Pawlak, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1703 N Taylor Dr, Sheboygan, WI 53081 Phone: 920-457-4438 Fax: 920-457-6748
Bora You, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461 Fax: 920-459-1483

Mohammad Obaidullah, - Medicare Family Medicine in Sheboygan, WI