| Ibrahim Hasan, MD | |
|
18697 Bagley Rd, Middleburg Heights, OH 44130-3417 | |
| (440) 816-8000 | |
| Not Available |
| Full Name | Ibrahim Hasan |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 7 Years |
| Location | 18697 Bagley Rd, Middleburg Heights, 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 |
|---|---|---|---|
| 1255838264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | ME146612 (Florida) | Secondary |
| 207P00000X | Emergency Medicine | 35.141026 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southwest General Health Center | Middleburg heights, OH | Hospital |
| Ohiohealth Mansfield Hospital | Mansfield, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Clecare Urgent Care Llc | 0749647360 | 5 |
| Emergency Professional Services, Inc. | 7214832435 | 112 |
| Mid-ohio Emergency Group, Llc | 7810233517 | 41 |
| Entity Name | Physicians Link Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235172925 PECOS PAC ID: 8527969492 Enrollment ID: O20040405000838 |
| Entity Name | Emergency Professional Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093762353 PECOS PAC ID: 7214832435 Enrollment ID: O20040511000864 |
| Entity Name | Mid-ohio Emergency Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881164010 PECOS PAC ID: 7810233517 Enrollment ID: O20190117001823 |
| Entity Name | Clecare Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346967361 PECOS PAC ID: 0749647360 Enrollment ID: O20230613000762 |
| Mailing Address | Practice Location Address |
|---|---|
| Ibrahim Hasan, MD 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 Ph: (440) 816-8000 | Ibrahim Hasan, MD 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 Ph: (440) 816-8000 |
James Jos Rybak, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 18697 Bagley Rd, Middleburg Heights, OH 44130 Phone: 440-816-8000 | |
Phillip Stout, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 18697 Bagley Rd, Middleburg Heights, OH 44130 Phone: 440-816-8000 | |
Robert Brent Wilder, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 18697 Bagley Rd, Middleburg Heights, OH 44130 Phone: 440-816-8000 | |
Michelle Ashley Fallon, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 18697 Bagley Rd, Middleburg Heights, OH 44130 Phone: 440-816-8000 | |
Nicole Wadsworth, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 7123 Pearl Rd, Middleburg Heights, OH 44130 Phone: 440-842-7990 Fax: 440-842-8835 | |
Angel Ronda, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 18697 Bagley Rd, Middleburg Heights, OH 44130 Phone: 440-816-8000 |