Mohamad Ata, - Medicare Nurse Practitioner in Champaign, IL

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Mohamad Ata, is a medicare enrolled "Nurse Practitioner" in Champaign, Illinois. He went to Rush Medical College Of Rush University and graduated in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Rush University Medical Center and his current practice location is 1802 S. Mattis, Champaign, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 383-3311.

Mohamad Ata is licensed to practice in Illinois (license number 209017185) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1457698169.

Contact Information

Mohamad Ata,
1802 S. Mattis,
Champaign, IL 61821
(217) 383-3311
(630) 690-5282

Map and Direction




Provider's Profile

Full NameMohamad Ata
GenderMale
SpecialityNurse Practitioner
Experience7 Years
Location1802 S. Mattis, Champaign, Illinois
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mohamad Ata attended and graduated from Rush Medical College Of Rush University in 2017
  NPI Data:
  • NPI Number: 1457698169
  • Provider Enumeration Date: 01/15/2013
  • Last Update Date: 11/27/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 0143583484
  • Enrollment ID: I20180418002634

Medical Identifiers

Medical identifiers for Mohamad Ata such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457698169NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 041398787 (Illinois)Secondary
363L00000XNurse Practitioner 209017185 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Rush University Medical CenterChicago, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Rush University Medical Center54966588741007

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. Mohamad Ata allows following entities to bill medicare on his behalf.
Entity NameRush University Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093819542
PECOS PAC ID: 5496658874
Enrollment ID: O20040202000228
Entity NameErie Family Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760499545
PECOS PAC ID: 9537050422
Enrollment ID: O20040322000689
Entity NameElemental Center Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033410477
PECOS PAC ID: 6305149196
Enrollment ID: O20160128001830
Entity NameYusuf Salah, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982254850
PECOS PAC ID: 3577895176
Enrollment ID: O20191031001966
Entity NameKhalil Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407225709
PECOS PAC ID: 4284056466
Enrollment ID: O20200616002420

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. Mohamad Ata 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
Mohamad Ata,
611 W. Park St., Fapc,
Urbana, IL 61801

Ph: (217) 902-5291		Mohamad Ata,
1802 S. Mattis,
Champaign, IL 61821

Ph: (217) 383-3311

Reviews and Comments


Nurse Practitioner Nurses in Champaign, IL

Emily Stephenson, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1701 Curtis Rd, Champaign, IL 61822
Phone: 217-365-6207    Fax: 217-365-6380
Mrs. Tiffany Ann Rushing, APN, FNP-BC, PMHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1802 S Mattis Ave, Champaign, IL 61821
Phone: 217-365-2855    Fax: 217-365-2856
Maddison P. Draper, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2718 N Prospect Ave, Champaign, IL 61822
Phone: 217-337-3852    Fax: 217-337-3853
Jessica Lynn Mandrell,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 819 Bloomington Rd, Champaign, IL 61820
Phone: 217-356-1558    
Ms. Greta Obereiner, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1801 Windsor Rd, Champaign, IL 61822
Phone: 217-366-8130    Fax: 217-366-6106
Alger Penas, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2300 S 1st St, Champaign, IL 61820
Phone: 217-383-9400    Fax: 217-383-9691
Miss Abigayl Frields, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1813 W Kirby Ave Ste 120, Champaign, IL 61821
Phone: 217-383-3131    

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.