| Ibrahim Bshara, MD | |
|
3665 W 117th St, Cleveland, OH 44111-5215 | |
| (216) 351-0778 | |
| (216) 251-5963 |
| Full Name | Ibrahim Bshara |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 46 Years |
| Location | 3665 W 117th St, Cleveland, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740256445 | NPI | - | NPPES |
| 000000031825 | Other | OH | ANTHEM |
| 10789186 | Other | CAQH | |
| 1780634279 | Other | GROUP NPI | |
| 0119204 | Other | GROUP MEDICAID | |
| 3610861 | Other | GROUP ASC MEDICARE | |
| 109285 | Other | KAISER | |
| CA4511 | Other | GROUP RR MEDICARE | |
| CA4511 | Other | RR MEDICARE GROUP | |
| 0874362 | Medicaid | OH | |
| 110099557 | Other | RR MEDICARE INDIVIDUAL | |
| 9273172 | Other | GROUP MEDICARE | |
| D368301 | Other | GROUP IND DIAGNOSTICS MED |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35063037B (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Continuum Care Hospice | Parma, OH | Hospice |
| Cleveland Clinic Hospice At Home | Independence, OH | Hospice |
| Fairview Hospital | Cleveland, OH | Hospital |
| Southwest General Health Center | Middleburg heights, OH | Hospital |
| Lutheran Home | Westlake, OH | Nursing home |
| Parkside Villa | Middleburg heights, OH | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premier Physicians Centers Inc | 0345153326 | 45 |
| Entity Name | Premier Physicians Centers Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780634279 PECOS PAC ID: 0345153326 Enrollment ID: O20031106000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Ibrahim Bshara, MD 20525 Center Ridge Rd, Suite 220, Rocky River, OH 44116 Ph: (440) 895-5056 | Ibrahim Bshara, MD 3665 W 117th St, Cleveland, OH 44111-5215 Ph: (216) 351-0778 |
Amir Razavi, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2500 Metrohealth Dr, Cleveland, OH 44109 Phone: 216-778-7800 | |
Sana Hasan, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195 Phone: 330-721-5700 | |
Laura Ferreira Provenzano, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave # Q7, Cleveland, OH 44195 Phone: 216-445-4926 Fax: 216-444-9378 | |
Catherine Frakes Vozzo, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 216-444-4444 Fax: 216-445-6290 | |
Tarek Ashour, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave # Q7, Cleveland, OH 44195 Phone: 216-444-5040 | |
Mrs. Efewongbe Benedicta Oleghe, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2351 E 22nd Street, St Vincent's Charity Medical Center, Cleveland, OH 44115 Phone: 216-363-2725 | |
Dr. Krupa Parikh, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 Metrohealth Dr, Cleveland, OH 44109 Phone: 216-778-7800 |