Adebisi Z Ibrahim, DIETITIAN - Medicare Dietitian in Fort Stewart, GA

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Adebisi Z Ibrahim, DIETITIAN is a medicare enrolled "Dietitian, Registered" provider in Fort Stewart, Georgia. Her current practice location is 1061 Harmon Ave, Fort Stewart, Georgia. You can reach out to her office (for appointments etc.) via phone at (912) 435-6965.

Adebisi Z Ibrahim is licensed to practice in New York (license number 008731) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1861929085.

Contact Information

Adebisi Z Ibrahim, DIETITIAN
1061 Harmon Ave,
Fort Stewart, GA 31314-5641
(912) 435-6965
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameAdebisi Z Ibrahim
GenderFemale
SpecialityDietitian, Registered
Location1061 Harmon Ave, Fort Stewart, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1861929085
  • Provider Enumeration Date: 05/18/2017
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7810418423
  • Enrollment ID: I20250311002148

Medical Identifiers

Medical identifiers for Adebisi Z Ibrahim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861929085NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 008731 (New York)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. Adebisi Z Ibrahim allows following entities to bill medicare on her behalf.
Provider NameSurely Health Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1053078360
PECOS PAC ID: 3072960491
Enrollment ID: O20240320003425
Provider NameSeason Clinical Care Pa
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1649933565
PECOS PAC ID: 4688015050
Enrollment ID: O20250109003415

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. Adebisi Z 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 AddressPractice Location Address
Adebisi Z Ibrahim, DIETITIAN
1061 Harmon Ave,
Fort Stewart, GA 31314-5641

Ph: (912) 435-6965		Adebisi Z Ibrahim, DIETITIAN
1061 Harmon Ave,
Fort Stewart, GA 31314-5641

Ph: (912) 435-6965

Reviews and Comments


Dietitian, Registered in Fort Stewart, GA

Jordan Domenick, RD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 1061 Harmon Ave, Fort Stewart, GA 31314
Phone: 912-435-6633    
Priscilla C Packnett, RD, LDN
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 1061 Harmon Avenue, Suite 1d03, Fort Stewart, GA 31314
Phone: 912-435-6965    
Bridget A Couchon, DIETITIAN
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 1061 Harmon Ave, Suite 1d03, Fort Stewart, GA 31314
Phone: 912-435-6707    
Mrs. Kristina Yavorski, MS, RD, LD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 1061 Harmon Ave, Suite 1d03, Fort Stewart, GA 31314
Phone: 912-435-6633    
Christina Griffin,
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 1061 Harmon Ave, Fort Stewart, GA 31314
Phone: 912-435-6965    
Mr. Stephen Suhayda, MS, RDN, LDN
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 1061 Harmon Ave, Fort Stewart, GA 31314
Phone: 912-435-6965    
Yi-ling Lee, R.D.
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 1061 Harmon Ave Ste 1d03, Fort Stewart, GA 31314
Phone: 912-435-5965    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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