Roula Al-dahhak, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in O Fallon, Illinois. She graduated from medical school in 1993 and has 32 years of diverse experience with area of expertise as Neurology. She is a member of the group practice Fairview Heights Medical Group Sc and her current practice location is
3 Saint Elizabeth Blvd Ste 5000, O Fallon, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 641-5803.
Roula Al-dahhak is licensed to practice in Illinois (license number 036176244) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1033116165.
Physician's Profile
| Full Name | Roula Al-dahhak |
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| Gender | Female |
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| Speciality | Neurology |
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| Experience | 32 Years |
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| Location | 3 Saint Elizabeth Blvd Ste 5000, O Fallon, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Roula Al-dahhak graduated from medical school in 1993
NPI Data:
- NPI Number: 1033116165
- Provider Enumeration Date: 07/05/2005
- Last Update Date: 09/29/2025
Medicare PECOS Information:
- PECOS PAC ID: 5698720811
- Enrollment ID: I20100929001037
Medical Identifiers
Medical identifiers for Roula Al-dahhak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1033116165 | NPI | - | NPPES |
| 2537919 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2084N0400X | Psychiatry & Neurology - Neurology | 036176244 (Illinois) | Primary |
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | 35082826 (Ohio) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 35082826 (Ohio) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 2010011111 (Missouri) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Fairview Heights Medical Group Sc | 6800784083 | 386 |
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. Roula Al-dahhak allows following entities to bill medicare on her behalf.
| Entity Name | Southeast Missouri Hospital Physicians Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558311522 PECOS PAC ID: 9133024334 Enrollment ID: O20031201000775 |
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| Entity Name | Fairview Heights Medical Group Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679503668 PECOS PAC ID: 6800784083 Enrollment ID: O20060302000596 |
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| Entity Name | Memory Training Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710701495 PECOS PAC ID: 1153858469 Enrollment ID: O20241227001916 |
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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. Roula Al-dahhak 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 |
Roula Al-dahhak, MD 3 Saint Elizabeth Blvd Ste 5000, O Fallon, IL 62269-1282 Ph: (618) 641-5803 | Roula Al-dahhak, MD 3 Saint Elizabeth Blvd Ste 5000, O Fallon, IL 62269-1282 Ph: (618) 641-5803 |
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