Athara Ismail Ibrahim, CCC/AUD in Bloomington, MN - Medicare Qualified Audiologist Provider

Athara Ismail Ibrahim, CCC/AUD is a medicare enrolled "Audiologist" provider in Bloomington, Minnesota. She graduated from medical school in 2023 and has 2 years of diverse experience with area of expertise as Qualified Audiologist. She is a member of the group practice Park Nicollet Clinic and her current practice location is 4801 W 81st St Ste 112, Bloomington, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 345-3000.

Athara Ismail Ibrahim is licensed to practice in Minnesota (license number 528789) 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 1356021521.

Contact Information

	Athara Ismail Ibrahim, CCC/AUD
	4801 W 81st St Ste 112, Bloomington, MN 55437-1111
	(952) 345-3000
	(952) 345-6789

Map and Direction

Healthcare Provider's Profile

Full Name	Athara Ismail Ibrahim
Gender	Female
Speciality	Qualified Audiologist
Experience	2 Years
Location	4801 W 81st St Ste 112, Bloomington, Minnesota
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:

Athara Ismail Ibrahim graduated from medical school in 2023

NPI Data:

NPI Number: 1356021521
Provider Enumeration Date: 07/21/2023
Last Update Date: 11/14/2025

Medicare PECOS Information:

PECOS PAC ID: 9133564453
Enrollment ID: I20240227001170

Medical Identifiers

Medical identifiers for Athara Ismail Ibrahim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356021521	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
231H00000X	Audiologist	528789 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Park Nicollet Clinic	7911819438	1611

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. Athara Ismail Ibrahim allows following entities to bill medicare on her behalf.

Provider Name	Park Nicollet Clinic
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046

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. Athara Ismail 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
Athara Ismail Ibrahim, CCC/AUD 4801 W 81st St Ste 112, Bloomington, MN 55437-1111 Ph: (952) 345-3000	Athara Ismail Ibrahim, CCC/AUD 4801 W 81st St Ste 112, Bloomington, MN 55437-1111 Ph: (952) 345-3000

Reviews and Comments

Audiologist in Bloomington, MN

Dr. Catherine Hessig, AU.D Audiologist Medicare: Not Enrolled in Medicare Practice Location: 8001 Bloomington Freeway, Gn Hearing Care, Bloomington, MN 55420 Phone: 847-832-3766 Fax: 847-832-3766
Elle Hawkinson, AUDIOLOGIST Audiologist Medicare: Accepting Medicare Assignments Practice Location: 4801 W 81st St Ste 112, Bloomington, MN 55437 Phone: 952-345-0000 Fax: 952-345-6789
Kristen Marie Ashwell, Audiologist Medicare: Not Enrolled in Medicare Practice Location: 9801 Dupont Ave S, Suite 200, Bloomington, MN 55431 Phone: 952-888-5800 Fax: 952-884-2656
Carol H Schirber, CCCA Audiologist Medicare: Not Enrolled in Medicare Practice Location: 7920 Cedar Ave S, Bloomington, MN 55425 Phone: 952-851-1000 Fax: 952-851-1092
Ms. Samantha Tarsi, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 4801 W 81st St Ste 112, Bloomington, MN 55437 Phone: 952-345-3000 Fax: 952-345-6789
Mckenna F. Wisch, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 4801 W 81st St Ste 112, Bloomington, MN 55437 Phone: 952-345-3000 Fax: 952-345-6789

Athara Ismail Ibrahim, CCC/AUD - Medicare Audiologist in Bloomington, MN