| Rimon Ibrahim, MD | |
|
312 Hospital Dr, Clintwood, VA 24228-6786 | |
| (276) 926-0300 | |
| Not Available |
| Full Name | Rimon Ibrahim |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 37 Years |
| Location | 312 Hospital Dr, Clintwood, Virginia |
| 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 |
|---|---|---|---|
| 1811934698 | NPI | - | NPPES |
| 1811934698 | Medicaid | VA | |
| 010264995 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 0101051077 (Virginia) | Secondary |
| 207R00000X | Internal Medicine | 0101051077 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Dickenson Community Hospital | Clintwood, VA | Hospital |
| Lonesome Pine Hospital | Big stone gap, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dickenson Medical Clinic Pc | 0840202362 | 2 |
| Western Virginia Regional Emergency Physicians Llc | 4183991227 | 84 |
| Entity Name | Dickenson Medical Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033153879 PECOS PAC ID: 0840202362 Enrollment ID: O20060628000170 |
| Entity Name | Western Virginia Regional Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386183028 PECOS PAC ID: 4183991227 Enrollment ID: O20170522001368 |
| Entity Name | App Of Tennessee Ed Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003230236 PECOS PAC ID: 8123251766 Enrollment ID: O20180814002326 |
| Mailing Address | Practice Location Address |
|---|---|
| Rimon Ibrahim, MD 200 Corporate Blvd, Lafayette, LA 70508-3870 Ph: (800) 893-9698 | Rimon Ibrahim, MD 312 Hospital Dr, Clintwood, VA 24228-6786 Ph: (276) 926-0300 |
Walid Saado, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5476 Dickenson Hwy, Clintwood, VA 24228 Phone: 276-926-5511 Fax: 276-926-5513 | |
Samir Samuel Missak, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: Hospital Drive, Building 1, Clintwood, VA 24228 Phone: 276-926-6258 Fax: 276-926-6222 | |
Starla Kiser, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 440 Fox Town Rd, Clintwood, VA 24228 Phone: 276-926-2554 |