| Dr Mohamed Ibrahim Hassan, MD | |
|
100 Hospital Ave, Du Bois, PA 15801-1440 | |
| (814) 375-6428 | |
| Not Available |
| Full Name | Dr Mohamed Ibrahim Hassan |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Neonatal-perinatal Medicine |
| Location | 100 Hospital Ave, Du Bois, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629187844 | NPI | - | NPPES |
| 227278 | Medicaid | OR | |
| 1019549100001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | MD431731 (Pennsylvania) | Primary |
| Entity Name | Dubois Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801094222 PECOS PAC ID: 5890689715 Enrollment ID: O20131214000130 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mohamed Ibrahim Hassan, MD Po Box 447, Du Bois, PA 15801-0447 Ph: (814) 372-2353 | Dr Mohamed Ibrahim Hassan, MD 100 Hospital Ave, Du Bois, PA 15801-1440 Ph: (814) 375-6428 |
Dr. Desiree M. Webb, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 529 Sunflower Dr, Du Bois, PA 15801 Phone: 814-371-1510 Fax: 814-371-2922 | |
Dr. Marcy A. Hartle, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 865 Beaver Dr, Du Bois, PA 15801 Phone: 814-371-1510 Fax: 814-371-2922 | |
Htar Su Hlaing, Pediatrics Medicare: Medicare Enrolled Practice Location: 123 Hospital Avenue, Du Bois, PA 15801 Phone: 814-371-1510 Fax: 814-371-2922 | |
W. John Siar, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 635c Maple Ave, Du Bois, PA 15801 Phone: 814-371-1771 | |
Dr. Yin Yin Htun, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 123 Hospital Avenue, Du Bois, PA 15801 Phone: 814-371-1510 Fax: 814-371-2922 | |
Dr. Naehal Patel Marra, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 135b Midway Dr, Du Bois, PA 15801 Phone: 814-371-1771 Fax: 814-371-4417 |