Mohammad Tabatabaei, PA-C - Medicare Physician Assistant in Sullivan, IL

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Mohammad Tabatabaei, PA-C is a medicare enrolled "Physician Assistant" in Sullivan, Illinois. He graduated from nursing school in 2004 and has 22 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Decatur Memorial Hospital and his current practice location is 1220 W Jackson St, Sullivan, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 728-2042.

Mohammad Tabatabaei is licensed to practice in Illinois (license number 085-002332) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1215954813.

Contact Information

Mohammad Tabatabaei, PA-C
1220 W Jackson St,
Sullivan, IL 61951-1032
(217) 728-2042
(217) 728-2485

Map and Direction




Provider's Profile

Full NameMohammad Tabatabaei
GenderMale
SpecialityPhysician Assistant
Experience22 Years
Location1220 W Jackson St, Sullivan, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mohammad Tabatabaei graduated from nursing school in 2004
  NPI Data:
  • NPI Number: 1215954813
  • Provider Enumeration Date: 07/17/2006
  • Last Update Date: 01/10/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5092771535
  • Enrollment ID: I20041206001120

Medical Identifiers

Medical identifiers for Mohammad Tabatabaei such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215954813NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 085-002332 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Community Homecare, IncSullivan, ILHome health agency
Enhabit Home HealthSpringfield, ILHome health agency
Hshs Home Care IllinoisEffingham, ILHome health agency
Decatur Memorial HospitalDecatur, ILHospital
Sarah Bush Lincoln Health CenterMattoon, ILHospital
Hshs Good Shepherd Hospital IncShelbyville, ILHospital
St Marys HospitalDecatur, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Decatur Memorial Hospital6204731144173

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 Tabatabaei allows following entities to bill medicare on his behalf.
Entity NameDecatur Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164477725
PECOS PAC ID: 6204731144
Enrollment ID: O20031203000685
Entity NameCommunity Health Improvement Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467784090
PECOS PAC ID: 4385625342
Enrollment ID: O20040526000316

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 Tabatabaei 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
Mohammad Tabatabaei, PA-C
2300 N Edward St, Gsbll,
Decatur, IL 62526-4163

Ph: (217) 876-2857		Mohammad Tabatabaei, PA-C
1220 W Jackson St,
Sullivan, IL 61951-1032

Ph: (217) 728-2042

Reviews and Comments



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.