| Osama Ibrahim, MD | |
|
1801 N Jackson St, Tullahoma, TN 37388-8259 | |
| (931) 393-7831 | |
| Not Available |
| Full Name | Osama Ibrahim |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 30 Years |
| Location | 1801 N Jackson St, Tullahoma, Tennessee |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538179817 | NPI | - | NPPES |
| 3025372 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 35.084895 (Ohio) | Secondary |
| 207RI0011X | Internal Medicine - Interventional Cardiology | 66178 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tennova Healthcare-harton | Tullahoma, TN | Hospital |
| Vanderbilt University Medical Center | Nashville, TN | Hospital |
| Saint Thomas West Hospital | Nashville, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cardiology And Vascular Associates | 3779887781 | 8 |
| Vanderbilt University Medical Center | 5092023416 | 2960 |
| Entity Name | Vanderbilt University Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104202761 PECOS PAC ID: 5092023416 Enrollment ID: O20151006000369 |
| Entity Name | Cardiology & Vascular Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891152104 PECOS PAC ID: 3779887781 Enrollment ID: O20160211002875 |
| Mailing Address | Practice Location Address |
|---|---|
| Osama Ibrahim, MD 3841 Green Hills Village Dr Ste 200, Nashville, TN 37215-2691 Ph: (615) 322-6842 | Osama Ibrahim, MD 1801 N Jackson St, Tullahoma, TN 37388-8259 Ph: (931) 393-7831 |
Dr. Francisco Vallejo, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 711 North Atlantic Street, Tullahoma, TN 37388 Phone: 931-455-3445 Fax: 931-455-1830 | |
Brian Schlick, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1750 Cedar Ln Ste 200, Tullahoma, TN 37388 Phone: 931-393-3143 | |
Anjalie Julie Joshi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1801 N Jackson St, Tullahoma, TN 37388 Phone: 931-393-3000 | |
Teresa M Patterson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 209 Wilson Ave, Tullahoma, TN 37388 Phone: 931-455-2525 Fax: 931-455-2505 | |
Oladapo O Omitowoju, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1801 N Washington St, Ste. 300, Tullahoma, TN 37388 Phone: 931-393-4995 Fax: 931-393-3573 | |
Dr. Marcus William Lee, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 711 Nw Atlantic St, Tullahoma, TN 37388 Phone: 931-455-2273 Fax: 931-563-7659 |