Jihad Y Ibrahim, MD is a medicare enrolled "Internal Medicine" physician in Licking, Missouri. His current practice location is
255 W Highway 32, Licking, Missouri. You can reach out to his office (for appointments etc.) via phone at
(573) 674-4470.
Jihad Y Ibrahim is licensed to practice in Missouri (license number 103766) 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 1043464431.
Physician's Profile
Full Name | Jihad Y Ibrahim |
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Gender | Male |
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Speciality | Internal Medicine |
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Location | 255 W Highway 32, Licking, Missouri |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1043464431
- Provider Enumeration Date: 11/11/2008
- Last Update Date: 11/11/2008
Medicare PECOS Information:
- PECOS PAC ID: 2961628284
- Enrollment ID: I20140723000700
Medical Identifiers
Medical identifiers for Jihad Y Ibrahim such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043464431 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 103766 (Missouri) | Primary |
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. Jihad Y Ibrahim allows following entities to bill medicare on his behalf.
Entity Name | Capital Region Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1477980837 PECOS PAC ID: 4688573686 Enrollment ID: O20070323000507 |
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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. Jihad Y 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 |
Jihad Y Ibrahim, MD Po Box 648, Salem, MO 65560-0648 Ph: (573) 674-4470 | Jihad Y Ibrahim, MD 255 W Highway 32, Licking, MO 65542-9076 Ph: (573) 674-4470 |
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