| Hany Clark Ibrahim, DO | |
|
3000 New Bern Ave, Raleigh, NC 27610-1231 | |
| (843) 237-3378 | |
| (843) 237-5073 |
| Full Name | Hany Clark Ibrahim |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 3000 New Bern Ave, Raleigh, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790747434 | NPI | - | NPPES |
| P00164016 | Other | NC | RAILROAD |
| 1337M | Other | NC | BCBS |
| 891337M | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 200201479 (North Carolina) | Primary |
| Entity Name | East Carolina Health-bertie |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578541660 PECOS PAC ID: 1355251661 Enrollment ID: O20041112000143 |
| Entity Name | Vidant Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
| Entity Name | Emergency Coverage Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20100202000365 |
| Entity Name | Bull City Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770004285 PECOS PAC ID: 6901164938 Enrollment ID: O20171221001735 |
| Entity Name | Gem Capital Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225524598 PECOS PAC ID: 8628320918 Enrollment ID: O20181015003602 |
| Entity Name | Robeson Emergency Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801375373 PECOS PAC ID: 3870846934 Enrollment ID: O20181019001201 |
| Mailing Address | Practice Location Address |
|---|---|
| Hany Clark Ibrahim, DO Po Box 60968, Charlotte, NC 28260-0968 Ph: (843) 237-3378 | Hany Clark Ibrahim, DO 3000 New Bern Ave, Raleigh, NC 27610-1231 Ph: (843) 237-3378 |
Hershell Cassell, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3400 Wake Forest Rd, Raleigh, NC 27609 Phone: 919-620-4467 | |
Christopher Occhino, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4513 Pitt St, Raleigh, NC 27609 Phone: 716-725-9852 Fax: 716-204-4501 | |
Tina M Tamaddon, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 843-237-3378 Fax: 843-237-5073 | |
Rodney L Mccaskill, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 843-237-3378 Fax: 843-237-5073 | |
Colleen C Miller, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4420 Lake Boone Trl, Raleigh, NC 27607 Phone: 919-784-3100 | |
Damian Francis Mchugh, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4420 Lake Boone Trl, Raleigh, NC 27607 Phone: 919-784-3100 | |
James M Merritt, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 843-237-3378 Fax: 843-237-5073 |