Imikomobong Ekopimo Ibia, MD - Medicare Emergency Medicine in Boston, MA

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Imikomobong Ekopimo Ibia, MD is a medicare enrolled "Emergency Medicine" physician in Boston, Massachusetts. He graduated from medical school in 2018 and has 8 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Inphynet Primary Care Physicians Southeast Pc, Emergency Medicine Associates P.a., P.c. and his current practice location is 55 Fruit St, Boston, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (617) 724-4100.

Imikomobong Ekopimo Ibia is licensed to practice in Georgia (license number 109444) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1285122762.

Contact Information

Imikomobong Ekopimo Ibia, MD
55 Fruit St,
Boston, MA 02114-2621
(617) 724-4100
Not Available

Map and Direction




Physician's Profile

Full NameImikomobong Ekopimo Ibia
GenderMale
SpecialityEmergency Medicine
Experience8 Years
Location55 Fruit St, Boston, Massachusetts
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Imikomobong Ekopimo Ibia graduated from medical school in 2018
  NPI Data:
  • NPI Number: 1285122762
  • Provider Enumeration Date: 04/30/2018
  • Last Update Date: 08/10/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 9133478670
  • Enrollment ID: I20251001000001

Medical Identifiers

Medical identifiers for Imikomobong Ekopimo Ibia such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285122762NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 109444 (Georgia)Primary
207P00000XEmergency Medicine 290390 (Massachusetts)Secondary
2080P0204XPediatrics - Pediatric Emergency Medicine 290390 (Massachusetts)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Reston Hospital CenterReston, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Inphynet Primary Care Physicians Southeast Pc377949704571
Emergency Medicine Associates P.a., P.c.8022914522706

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. Imikomobong Ekopimo Ibia allows following entities to bill medicare on his behalf.
Entity NameInphynet Primary Care Physicians Southeast PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770521460
PECOS PAC ID: 3779497045
Enrollment ID: O20031119000600
Entity NameHospital Physician Services - Southeast Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760410385
PECOS PAC ID: 5597774554
Enrollment ID: O20060419000545

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. Imikomobong Ekopimo Ibia 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 AddressPractice Location Address
Imikomobong Ekopimo Ibia, MD
55 Fruit St,
Boston, MA 02114-2621

Ph: (617) 724-4100		Imikomobong Ekopimo Ibia, MD
55 Fruit St,
Boston, MA 02114-2621

Ph: (617) 724-4100

Reviews and Comments


Emergency Medicine Doctors in Boston, MA

Yeu-shin Cindy Chang, M.D., M.P.H.
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Dr. Jacob Ari Hurwitz, MD MPH
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Christopher Lites, MD
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Aneesh T Narang, MD
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Dr. Justin Thomas Pitman, M.D.
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Practice Location: 75 Francis St, Neville House - 236a, Boston, MA 02115
Phone: 617-732-8070    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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