Ibrahem Salloum, MD in Providence, RI - Medicare Internal Medicine

Ibrahem Salloum, MD is a medicare enrolled "Internal Medicine" physician in Providence, Rhode Island. He graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Lifespan Physician Group Inc and his current practice location is 164 Summit Ave, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 793-4489.

Ibrahem Salloum is licensed to practice in Rhode Island (license number MD14622) 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 1245527845.

Contact Information

	Ibrahem Salloum, MD
	164 Summit Ave, Providence, RI 02906-2853
	(401) 793-4489
	(401) 793-4047

Map and Direction

Physician's Profile

Full Name	Ibrahem Salloum
Gender	Male
Speciality	Internal Medicine
Experience	14 Years
Location	164 Summit Ave, Providence, Rhode Island
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:

Ibrahem Salloum graduated from medical school in 2010

NPI Data:

NPI Number: 1245527845
Provider Enumeration Date: 07/02/2011
Last Update Date: 10/23/2020

Medicare PECOS Information:

PECOS PAC ID: 3577702273
Enrollment ID: I20140814000875

Medical Identifiers

Medical identifiers for Ibrahem Salloum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245527845	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	LP02361 (Rhode Island)	Secondary
207R00000X	Internal Medicine	MD14622 (Rhode Island)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
The Miriam Hospital	Providence, RI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lifespan Physician Group Inc	2567455082	631

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. Ibrahem Salloum allows following entities to bill medicare on his behalf.

Entity Name	Atwood Medical Associates Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558386227 PECOS PAC ID: 0941106652 Enrollment ID: O20070910000495

Entity Name	Lifespan Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407116643 PECOS PAC ID: 2567455082 Enrollment ID: O20121029000368

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. Ibrahem Salloum 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
Ibrahem Salloum, MD 825 Chalkstone Ave, Graduate Medical Education, Providence, RI 02908-4728 Ph: (401) 588-4001	Ibrahem Salloum, MD 164 Summit Ave, Providence, RI 02906-2853 Ph: (401) 793-4489

Reviews and Comments

Internal Medicine Doctors in Providence, RI

Christopher Donald Palmer, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Dudley St, Providence, RI 02905 Phone: 401-274-1122 Fax: 401-453-7597
Martha Catherine Trimbur, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 245 Chapman St Ste 300, Providence, RI 02905 Phone: 401-444-4741 Fax: 401-444-4445
Karl Herman, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, Fain Bldg., Providence, RI 02906 Phone: 401-793-4489 Fax: 401-793-4047
Muhammad Baig, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, Fain Bldg, Providence, RI 02906 Phone: 401-793-4489 Fax: 401-793-4047
Dr. Peter Sidhom, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 825 Chalkstone Ave, Providence, RI 02908 Phone: 603-560-2276
Dr. Kanhai Farrakhan, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-457-3336 Fax: 401-525-2349
Gary M Katzman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 208 Collyer Street, Suite 100, Providence, RI 02904 Phone: 401-793-7191 Fax: 401-793-7200

Ibrahem Salloum, MD - Medicare Internal Medicine in Providence, RI