Dr Ebehireme E Ibazebo, MD in Davenport, IA

Dr Ebehireme E Ibazebo, MD is a medicare enrolled "Internal Medicine" physician in Davenport, Iowa. She graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Hospitalist. She is a member of the group practice Main Line Healthcare, Trinity Health Mid-atlantic Medical Group and her current practice location is 1227 E Rusholme St, Davenport, Iowa. You can reach out to her office (for appointments etc.) via phone at (563) 421-3120.

Dr Ebehireme E Ibazebo is licensed to practice in Illinois (license number 125065062) 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 1639584733.

Contact Information

	Dr Ebehireme E Ibazebo, MD
	1227 E Rusholme St, Davenport, IA 52803-2459
	(563) 421-3120
	(563) 421-3129

Map and Direction

Physician's Profile

Full Name	Dr Ebehireme E Ibazebo
Gender	Female
Speciality	Hospitalist
Experience	17 Years
Location	1227 E Rusholme St, Davenport, Iowa
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:

Dr Ebehireme E Ibazebo graduated from medical school in 2007

NPI Data:

NPI Number: 1639584733
Provider Enumeration Date: 06/26/2014
Last Update Date: 04/30/2021

Medicare PECOS Information:

PECOS PAC ID: 2860798048
Enrollment ID: I20220415001423

Medical Identifiers

Medical identifiers for Dr Ebehireme E Ibazebo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639584733	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	125065062 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Paoli Hospital	Paoli, PA	Hospital
St Mary Medical Center	Langhorne, PA	Hospital
Riddle Memorial Hospital	Media, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Main Line Healthcare	1951215201	894
Trinity Health Mid-atlantic Medical Group	7416861885	239

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 Ebehireme E Ibazebo allows following entities to bill medicare on her behalf.

Entity Name	Main Line Healthcare
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922077643 PECOS PAC ID: 1951215201 Enrollment ID: O20040308000373

Entity Name	Trinity Health Mid-atlantic Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093771271 PECOS PAC ID: 7416861885 Enrollment ID: O20040326000613

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 Ebehireme E Ibazebo 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
Dr Ebehireme E Ibazebo, MD 5522 Emily Rd, Bettendorf, IA 52722-1260 Ph: (832) 774-5925	Dr Ebehireme E Ibazebo, MD 1227 E Rusholme St, Davenport, IA 52803-2459 Ph: (563) 421-3120

Reviews and Comments

Internal Medicine Doctors in Davenport, IA

Dr. Humphrey Wong, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1801 E 54th St, Ste 100, Davenport, IA 52807 Phone: 563-323-1229 Fax: 563-323-8240
Mouhamed Walid Al Sheikha, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2162 W Kimberly Rd, Davenport, IA 52806 Phone: 563-391-1024 Fax: 563-391-1024
Louis M Katz, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1351 W Central Park Ave, Davenport, IA 52804 Phone: 563-421-4244 Fax: 563-421-4285
Catherine L Weideman, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1351 W Central Park Ave, Ste 350, Davenport, IA 52804 Phone: 563-421-4620 Fax: 563-421-4625
Dr. Eric J Dippel, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3385 Dexter Ct Ste 100, Davenport, IA 52807 Phone: 563-324-3818 Fax: 563-326-4280
Sami Faruqui, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1970 E 53rd St, Davenport, IA 52807 Phone: 563-359-3949 Fax: 563-355-1159
Dr. Akshay Kantilal Mahadevia, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3385 Dexter Ct Ste 102, Davenport, IA 52807 Phone: 563-323-1352 Fax: 855-274-1654

Dr Ebehireme E Ibazebo, MD - Medicare Hospitalist in Davenport, IA