Mr Munib S Mafazy, APRN in Bloomington, IL - Medicare Nurse Practitioner

Mr Munib S Mafazy, APRN is a medicare enrolled "Nurse Practitioner - Family" in Bloomington, Illinois. He graduated from nursing school in 2007 and has 18 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Carle West Physician Group Inc and his current practice location is 2204 Eastland Dr, Bloomington, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 661-6900.

Mr Munib S Mafazy is licensed to practice in Illinois (license number 277000805) 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 1588859169.

Contact Information

	Mr Munib S Mafazy, APRN
	2204 Eastland Dr, Bloomington, IL 61704-3566
	(309) 661-6900
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Munib S Mafazy
Gender	Male
Speciality	Nurse Practitioner
Experience	18 Years
Location	2204 Eastland Dr, Bloomington, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Munib S Mafazy graduated from nursing school in 2007

NPI Data:

NPI Number: 1588859169
Provider Enumeration Date: 09/07/2007
Last Update Date: 01/24/2025

Medicare PECOS Information:

PECOS PAC ID: 2860562261
Enrollment ID: I20080528000124

Medical Identifiers

Medical identifiers for Mr Munib S Mafazy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588859169	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	277000805 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Advocate Bromenn Medical Center	Normal, IL	Hospital
St Joseph Medical Center	Bloomington, IL	Hospital
Ottawa Regional Hospital Dba Osf Saint Elizabeth Mdl Ctr	Ottawa, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Carle West Physician Group Inc	8921420308	275

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. Mr Munib S Mafazy allows following entities to bill medicare on his behalf.

Entity Name	Advocate Health And Hospitals Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064

Entity Name	Carle West Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147

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. Mr Munib S Mafazy 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
Mr Munib S Mafazy, APRN 611 W Park, Fapc, Urbana, IL 61801 Ph: (217) 902-6954	Mr Munib S Mafazy, APRN 2204 Eastland Dr, Bloomington, IL 61704-3566 Ph: (309) 661-6900

Reviews and Comments

Nurse Practitioner Nurses in Bloomington, IL

Theresa Kauth, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 108 W Market St, Bloomington, IL 61701 Phone: 309-827-5351 Fax: 309-829-6808
Cheryl Hansen, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3024 E Empire St, Bloomington, IL 61704 Phone: 309-454-4411
Carey Harris, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 309-664-3000 Fax: 309-664-3026
Elizabeth Jeanne Igoe, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3024 E Empire St Ste A, Bloomington, IL 61704 Phone: 309-556-7800 Fax: 309-556-7804
Ms. Linda Kay Wall, A.P.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 318 W Washington St, 3rd Floor, Bloomington, IL 61701 Phone: 309-827-4014 Fax: 309-828-6626
Amy O'brien, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1401 Eastland Dr, Bloomington, IL 61701 Phone: 309-661-3360 Fax: 309-661-3390
Mrs. Sonal Mukesh Patel, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 309-664-3800

Mr Munib S Mafazy, APRN - Medicare Nurse Practitioner in Bloomington, IL