| Dr Mohamed M Ibrahim, MD | |
|
15 Elizabeth Dr, Lockport, NY 14094-5226 | |
| (716) 341-3983 | |
| (716) 433-6388 |
| Full Name | Dr Mohamed M Ibrahim |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 15 Elizabeth Dr, Lockport, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154379295 | NPI | - | NPPES |
| 02836482 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 35087769 (Ohio) | Primary |
| 2086S0120X | Surgery - Pediatric Surgery | 35087769 (Ohio) | Secondary |
| Entity Name | United Memorial Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902800352 PECOS PAC ID: 0547259376 Enrollment ID: O20040507000847 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mohamed M Ibrahim, MD 15 Elizabeth Dr, Lockport, NY 14094-5226 Ph: (716) 341-3983 | Dr Mohamed M Ibrahim, MD 15 Elizabeth Dr, Lockport, NY 14094-5226 Ph: (716) 341-3983 |
Dr. Robert Wayne Hodge, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 160 East Ave, Lockport, NY 14094 Phone: 716-434-6141 Fax: 716-434-0594 | |
Dr. Manjushree Dey, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 734 Davison Road, Lockport, NY 14094 Phone: 716-433-1977 Fax: 716-433-1978 | |
Anthony Thomas Dibenedetto, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 15 Elizabeth Dr, Lockport, NY 14094 Phone: 716-434-9141 Fax: 716-434-0594 | |
Lewis James Alrutz, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 419 Willow St, Lockport, NY 14094 Phone: 716-433-8140 | |
Dr. Jeffrey John Schratz, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 160 East Ave, Lockport, NY 14094 Phone: 716-434-6141 Fax: 716-434-0594 | |
Zachary E Stiles, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 6000 Brockton Dr, Lockport, NY 14094 Phone: 716-845-3400 Fax: 716-438-1430 |