Dr Freddie M Ibrahim, MD in La Verne, CA - Medicare Pulmonary Disease

Dr Freddie M Ibrahim, MD is a medicare enrolled "Internal Medicine" physician in La Verne, California. He graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice Southern California Permanente Medical Group and his current practice location is 4222 Bradford St, La Verne, California. You can reach out to his office (for appointments etc.) via phone at (909) 596-6418.

Dr Freddie M Ibrahim is licensed to practice in California (license number A98360) 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 1598960254.

Contact Information

	Dr Freddie M Ibrahim, MD
	4222 Bradford St, La Verne, CA 91750-3117
	(909) 596-6418
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Freddie M Ibrahim
Gender	Male
Speciality	Pulmonary Disease
Experience	21 Years
Location	4222 Bradford St, La Verne, California
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:

Dr Freddie M Ibrahim graduated from medical school in 2003

NPI Data:

NPI Number: 1598960254
Provider Enumeration Date: 06/20/2007
Last Update Date: 11/30/2021

Medicare PECOS Information:

PECOS PAC ID: 5799857355
Enrollment ID: I20080626000666

Medical Identifiers

Medical identifiers for Dr Freddie M Ibrahim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598960254	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	A98360 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern California Permanente Medical Group	6002729175	7951

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 Freddie M Ibrahim allows following entities to bill medicare on his behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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 Freddie M Ibrahim 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 Freddie M Ibrahim, MD 4222 Bradford St, La Verne, CA 91750-3117 Ph: (909) 596-6418	Dr Freddie M Ibrahim, MD 4222 Bradford St, La Verne, CA 91750-3117 Ph: (909) 596-6418

Reviews and Comments

Internal Medicine Doctors in La Verne, CA

Dr. Eduardo P Siccion, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4523 Fruit St, La Verne, CA 91750 Phone: 860-999-9999
Dr. Jeffrey Scott Mason, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 5670 Shemiran St, La Verne, CA 91750 Phone: 909-593-4079 Fax: 951-274-3056
Latha Madhavi Achanta, MD MPH Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2105 Foothill Blvd Ste B262, La Verne, CA 91750 Phone: 909-901-3087
Mr. Sadiq Mandilawi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1234 Foothill Blvd, La Verne, CA 91750 Phone: 909-596-4879 Fax: 909-596-9199
Mr. James Ito, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 7343 El Nido, La Verne, CA 91750 Phone: 909-596-7245
Dr. Tan Lin Wong, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 Foothill Blvd Ste A, La Verne, CA 91750 Phone: 909-596-1941 Fax: 909-596-1943

Dr Freddie M Ibrahim, MD - Medicare Pulmonary Disease in La Verne, CA