| Dr Mary Ngeniform Ibe, MD | |
|
4727 Saint Antoine St Ste 210, Detroit, MI 48201-1461 | |
| (313) 993-0909 | |
| (313) 993-0299 |
| Full Name | Dr Mary Ngeniform Ibe |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 15 Years |
| Location | 4727 Saint Antoine St Ste 210, Detroit, Michigan |
| 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 |
|---|---|---|---|
| 1326168188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 9204 (Michigan) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 4301098880 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Harper University Hospital | Detroit, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ascension Medical Group Promed | 7315856077 | 258 |
| Henry Ford Wyandotte Hospital | 2264334499 | 192 |
| Vhs Physicians Of Michigan | 8921289760 | 224 |
| Entity Name | Bronson Methodist Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417961137 PECOS PAC ID: 0244148633 Enrollment ID: O20031208000832 |
| Entity Name | Ascension Medical Group Promed |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497709869 PECOS PAC ID: 7315856077 Enrollment ID: O20031216000478 |
| Entity Name | Henry Ford Wyandotte Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457586646 PECOS PAC ID: 2264334499 Enrollment ID: O20040227000431 |
| Entity Name | Vhs Physicians Of Michigan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073827101 PECOS PAC ID: 8921289760 Enrollment ID: O20110225000849 |
| Entity Name | Mclaren Greater Lansing |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972878452 PECOS PAC ID: 7214833466 Enrollment ID: O20121226000286 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mary Ngeniform Ibe, MD 4727 Saint Antoine St Ste 210, Detroit, MI 48201-1461 Ph: (313) 993-0909 | Dr Mary Ngeniform Ibe, MD 4727 Saint Antoine St Ste 210, Detroit, MI 48201-1461 Ph: (313) 993-0909 |