Dr Keith Lewis Fabrique, MD - Medicare Preventive Medicine in Decatur, IL

Dr Keith Lewis Fabrique, MD is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Decatur, Illinois. His current practice location is 1750 E Lake Shore Dr, Lower Level, Decatur, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 425-2732.

Dr Keith Lewis Fabrique is licensed to practice in Illinois (license number 036050458) 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 1225196710.

Contact Information

Dr Keith Lewis Fabrique, MD
1750 E Lake Shore Dr, Lower Level,
Decatur, IL 62521
(217) 425-2732
(217) 425-4778



Physician's Profile

Full NameDr Keith Lewis Fabrique
GenderMale
SpecialityPreventive Medicine - Occupational Medicine
Location1750 E Lake Shore Dr, Decatur, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1225196710
  • Provider Enumeration Date: 12/05/2006
  • Last Update Date: 12/29/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7517988405
  • Enrollment ID: I20051207000435

Medical Identifiers

Medical identifiers for Dr Keith Lewis Fabrique such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225196710NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 036050458 (Illinois)Secondary
2083X0100XPreventive Medicine - Occupational Medicine 036050458 (Illinois)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. Dr Keith Lewis Fabrique allows following entities to bill medicare on his behalf.
Entity NameHshs Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962644807
PECOS PAC ID: 5092857821
Enrollment ID: O20100116000275

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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. Dr Keith Lewis Fabrique 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
Dr Keith Lewis Fabrique, MD
1750 E Lake Shore Dr, Lower Level,
Decatur, IL 62521

Ph: (217) 425-2732
Dr Keith Lewis Fabrique, MD
1750 E Lake Shore Dr, Lower Level,
Decatur, IL 62521

Ph: (217) 425-2732

News Archive

TTY BIOPHARM receives Outstanding Company of the Year award

TTY BIOPHARM was awarded "Outstanding Company of the Year", the highest award given at the Bio Taiwan 2013 Exhibition. At the opening ceremony on July 18, Rong-Jing Lin, Chairman and General Manager of TTY BIOPHARM, received the prize from Ma Ying-jeou, President of Taiwan.

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While sitting in the dentist's office, Hollings Cancer Center researcher Matthew Carpenter, Ph.D., of the Medical University of South Carolina, had a bright idea.

Researchers identify new class of anti-inflammatory drugs may be used to treat IBD

Researchers in UCD Conway Institute and Systems Biology Ireland have identified a way that a new class of anti-inflammatory drugs may be used to treat inflammatory bowel disease (IBD).

Eating disorders a growing problem in U.S.

The number of men and women hospitalized due to eating disorders that caused anemia, kidney failure, erratic heart rhythms or other problems rose 18 percent between 1999 and 2006, according to the latest News and Numbers from the Agency for Healthcare Research and Quality.

Researchers suggest significant relationship between cannabis use and mania symptoms

Researchers from the University of Warwick have found evidence to suggest a significant relationship between cannabis use and the onset and exacerbation of mania symptoms.

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Preventive Medicine Doctors in Decatur, IL

Dr. Jon Fredrick Petersen, M.D.
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1750 E Lake Shore Dr, Decatur, IL 62521
Phone: 217-464-1440    Fax: 217-464-1469
Adills Moosa, DO
Preventive Medicine
Medicare: Medicare Enrolled
Practice Location: 1750 E Lake Shore Dr, Decatur, IL 62521
Phone: 217-464-1440    
Dr. Heather M O'hara, M.D.
Preventive Medicine
Medicare: Medicare Enrolled
Practice Location: 2120 N 27th St, Decatur, IL 62526
Phone: 217-876-4600    

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