Islam Gamal Ibrahim, PA-C is a medicare enrolled "Physician Assistant" physician in Pomona, California. He graduated from medical school in 2019 and has 7 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Sun Medical Group Inc and his current practice location is
1415 Ledgestone Ln, Pomona, California. You can reach out to his office (for appointments etc.) via phone at
(305) 528-1507.
Islam Gamal Ibrahim is licensed to practice in California (license number PA57291) 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 1700428711.
Physician's Profile
| Full Name | Islam Gamal Ibrahim |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 7 Years |
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| Location | 1415 Ledgestone Ln, Pomona, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Islam Gamal Ibrahim graduated from medical school in 2019
NPI Data:
- NPI Number: 1700428711
- Provider Enumeration Date: 10/10/2019
- Last Update Date: 09/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 5799114732
- Enrollment ID: I20200326002619
Medical Identifiers
Medical identifiers for Islam Gamal Ibrahim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700428711 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207QA0505X | Family Medicine - Adult Medicine | 57291 (California) | Secondary |
| 363A00000X | Physician Assistant | PA57291 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Sun Medical Group Inc | 8426388810 | 16 |
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. Islam Gamal Ibrahim 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 |
|---|
Islam Gamal Ibrahim, PA-C
1415 Ledgestone Ln,
Pomona, CA 91767-3566
Ph: (305) 528-1507 | Islam Gamal Ibrahim, PA-C
1415 Ledgestone Ln,
Pomona, CA 91767-3566
Ph: (305) 528-1507 |
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