| Marian Ibrahim, MD | |
|
4651 Van Dyke Rd, Lutz, FL 33558-4880 | |
| (813) 321-1786 | |
| (813) 321-1787 |
| Full Name | Marian Ibrahim |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 15 Years |
| Location | 4651 Van Dyke Rd, Lutz, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548571821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | ME151841 (Florida) | Primary |
| 207N00000X | Dermatology | 4301097012 (Michigan) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Midstate Skin Institute Llc | 3870746605 | 16 |
| Entity Name | Midstate Skin Institute Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912258989 PECOS PAC ID: 3870746605 Enrollment ID: O20130103000454 |
| Mailing Address | Practice Location Address |
|---|---|
| Marian Ibrahim, MD 4651 Van Dyke Rd, Lutz, FL 33558-4880 Ph: (813) 321-1786 | Marian Ibrahim, MD 4651 Van Dyke Rd, Lutz, FL 33558-4880 Ph: (813) 321-1786 |
Dr. Richard George Bindernagel Jr., DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1009 Dale Mabry Hwy, Lutz, FL 33548 Phone: 727-585-8591 | |
Nicole Marie Howe, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 17653 N Dale Mabry Hwy, Lutz, FL 33548 Phone: 813-590-2120 Fax: 813-590-2125 | |
Dr. James T Highsmith, MD, MS Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1809 Collier Pkwy, Lutz, FL 33549 Phone: 813-979-0000 Fax: 813-533-5419 | |
Christopher David Ewanowski, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4651 Van Dyke Rd, Lutz, FL 33558 Phone: 813-321-1786 Fax: 813-321-1787 |