Chadi Ibrahim, MD in Salt Lake City, UT - Medicare General Practice

Chadi Ibrahim, MD is a medicare enrolled "General Practice" physician in Salt Lake City, Utah. His current practice location is 275 E 200 S, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (202) 779-5214.

Chadi Ibrahim is licensed to practice in Wisconsin (license number 63989) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1316322043.

Contact Information

	Chadi Ibrahim, MD
	275 E 200 S, Salt Lake City, UT 84111
	(202) 779-5214
	Not Available

Map and Direction

Physician's Profile

Full Name	Chadi Ibrahim
Gender	Male
Speciality	General Practice
Location	275 E 200 S, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316322043
Provider Enumeration Date: 07/23/2015
Last Update Date: 07/09/2018

Medicare PECOS Information:

PECOS PAC ID: 1557678935
Enrollment ID: I20150917000401

Medical Identifiers

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

Identifier	Type	State	Issuer
1316322043	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	63989 (Wisconsin)	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. Chadi Ibrahim allows following entities to bill medicare on his behalf.

Entity Name	Kayenta Alternative Rural Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174692529 PECOS PAC ID: 3678558129 Enrollment ID: O20040621000422

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. Chadi 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
Chadi Ibrahim, MD 275 E 200 S, Salt Lake City, UT 84111-2002 Ph: () -	Chadi Ibrahim, MD 275 E 200 S, Salt Lake City, UT 84111 Ph: (202) 779-5214

Reviews and Comments

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Dr. R. Heather Macalma, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 250 E 200 S Rm 1202, Salt Lake City, UT 84111 Phone: 801-581-2121
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Dr. Chad Chenoweth, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 1512 E 3115 S, Salt Lake City, UT 84106 Phone: 801-205-4112

Chadi Ibrahim, MD - Medicare General Practice in Salt Lake City, UT