Ibrahim J Haddad, MD in Boardman, OH

Ibrahim J Haddad, MD is a medicare enrolled "Pediatrics - Pediatric Gastroenterology" physician in Boardman, Ohio. His current practice location is 7641 Market St Ste 3, Boardman, Ohio. You can reach out to his office (for appointments etc.) via phone at (330) 729-9140.

Ibrahim J Haddad is licensed to practice in Ohio (license number 35-062494) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1366401960.

Contact Information

	Ibrahim J Haddad, MD
	7641 Market St Ste 3, Boardman, OH 44512
	(330) 729-9140
	Not Available

Map and Direction

Physician's Profile

Full Name	Ibrahim J Haddad
Gender	Male
Speciality	Pediatrics - Pediatric Gastroenterology
Location	7641 Market St Ste 3, Boardman, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366401960
Provider Enumeration Date: 03/22/2006
Last Update Date: 05/14/2019

Medicare PECOS Information:

PECOS PAC ID: 4082895636
Enrollment ID: I20110302000277

Medical Identifiers

Medical identifiers for Ibrahim J Haddad such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366401960	NPI	-	NPPES
0860528	Medicaid	OH
01256834	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0206X	Pediatrics - Pediatric Gastroenterology	MD045935L (Pennsylvania)	Secondary
2080P0206X	Pediatrics - Pediatric Gastroenterology	35-062494 (Ohio)	Primary
2080P0206X	Pediatrics - Pediatric Gastroenterology	A44109 (California)	Secondary
2080P0206X	Pediatrics - Pediatric Gastroenterology	MD2014-0041 (New Mexico)	Secondary
2080P0206X	Pediatrics - Pediatric Gastroenterology	35062494H (Ohio)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ibrahim J Haddad allows following entities to bill medicare on his behalf.

Entity Name	Triad Health Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588925457 PECOS PAC ID: 9032367917 Enrollment ID: O20120918000787

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ibrahim J Haddad is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ibrahim J Haddad, MD Po Box 3349, Boardman, OH 44513-3349 Ph: (330) 729-9140	Ibrahim J Haddad, MD 7641 Market St Ste 3, Boardman, OH 44512 Ph: (330) 729-9140

Reviews and Comments

Pediatrics Doctors in Boardman, OH

Dr. Mary Joanna Mcintyre, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6505 Market St, Boardman, OH 44512 Phone: 330-746-9200 Fax: 330-746-9211
Jacqueline Lee Lickliter, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6505 Market St Ste 2100, Boardman, OH 44512 Phone: 330-746-8040 Fax: 330-746-8025
Deanna Marie Bellville, PPCNP-BC Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6505 Market St Bldg A1, Boardman, OH 44512 Phone: 330-746-8040 Fax: 330-746-8025
Dr. Heather Danielle Strawbridge, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 8423 Market St Ste 300, Boardman, OH 44512 Phone: 330-543-8885 Fax: 330-543-8890
Hi Moon Ahn, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6505 Market St, Boardman, OH 44512 Phone: 330-884-2425
Dr. Stacy Lynn Generalovich, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6505 Market St Ste 2100, Boardman, OH 44512 Phone: 330-746-8040 Fax: 330-746-8025
Robert Peter Vandekappelle Jr., M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 6505 Market St Fl 2, Boardman, OH 44512 Phone: 330-629-6085 Fax: 330-629-7620

Ibrahim J Haddad, MD - Medicare Pediatrics in Boardman, OH