Mrs Amal Shoukry Ibrahim, MD in San Bernardino, CA

Mrs Amal Shoukry Ibrahim, MD is a medicare enrolled "Pediatrics" physician in San Bernardino, California. Her current practice location is 565 N. Mt. Vernon Ave, San Bernardino, California. You can reach out to her office (for appointments etc.) via phone at (909) 884-9091.

Mrs Amal Shoukry Ibrahim is licensed to practice in California (license number A53803) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1134228943.

Contact Information

	Mrs Amal Shoukry Ibrahim, MD
	565 N. Mt. Vernon Ave, San Bernardino, CA 92411
	(909) 884-9091
	(909) 383-7013

Map and Direction

Physician's Profile

Full Name	Mrs Amal Shoukry Ibrahim
Gender	Female
Speciality	Pediatrics
Location	565 N. Mt. Vernon Ave, San Bernardino, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134228943
Provider Enumeration Date: 09/21/2006
Last Update Date: 03/04/2016

Medicare PECOS Information:

PECOS PAC ID: 4385937887
Enrollment ID: I20160720003003

Medical Identifiers

Medical identifiers for Mrs Amal Shoukry Ibrahim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134228943	NPI	-	NPPES
00A538030	Other	CA	MEDI-CAL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A53803 (California)	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. Mrs Amal Shoukry Ibrahim allows following entities to bill medicare on her behalf.

Entity Name	Pinnacle Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376876912 PECOS PAC ID: 4880667609 Enrollment ID: O20040818001020

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. Mrs Amal Shoukry 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
Mrs Amal Shoukry Ibrahim, MD Po Box 12209, Suite #230, San Bernardino, CA 92423-2209 Ph: (909) 890-0407	Mrs Amal Shoukry Ibrahim, MD 565 N. Mt. Vernon Ave, San Bernardino, CA 92411 Ph: (909) 884-9091

Reviews and Comments

Pediatrics Doctors in San Bernardino, CA

Dr. Kofi Adade-boafo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2150 N Waterman Ave, Ste 200, San Bernardino, CA 92404 Phone: 909-887-7951 Fax: 909-883-1634
Dr. Irene Styadi Tsai, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 685 Carnegie Dr, Ste. #230, San Bernardino, CA 92408 Phone: 909-890-0407
Swapna S. Kudtarkar, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 401 E Highland Ave Ste 450a, San Bernardino, CA 92404 Phone: 909-864-4700 Fax: 909-883-0459
Angie Bagheri Cook, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 565 N. Mount Vernon Ave, San Bernardino, CA 92411 Phone: 909-884-9091
Ms. Lanny Nizar, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2101 N Waterman Ave, San Bernardino, CA 92404 Phone: 909-881-4315 Fax: 909-881-4474
Dr. Mohammad S Kanakriyeh, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 350 E Vanderbilt Way, Ste A, San Bernardino, CA 92408 Phone: 909-886-5200 Fax: 909-382-9017

Mrs Amal Shoukry Ibrahim, MD - Medicare Pediatrics in San Bernardino, CA