Hassan Ibrahim, PMH NP is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Woodside, New York. His current practice location is
5611 30th Ave, Woodside, New York. You can reach out to his office (for appointments etc.) via phone at
(646) 761-9279.
Hassan Ibrahim is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1992415327.
Provider's Profile
| Full Name | Hassan Ibrahim |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 5611 30th Ave, Woodside, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1992415327
- Provider Enumeration Date: 11/28/2022
- Last Update Date: 04/09/2025
Medicare PECOS Information:
- PECOS PAC ID: 7719346204
- Enrollment ID: I20230630002486
Medical Identifiers
Medical identifiers for Hassan Ibrahim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992415327 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 404631 (New York) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Hassan Ibrahim allows following entities to bill medicare on his behalf.
| Entity Name | Grow Healthcare Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20221117000517 |
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| Entity Name | Astoria Mind Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699463190
PECOS PAC ID: 0648639138
Enrollment ID: O20230630001061 |
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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. Hassan 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 |
|---|
Hassan Ibrahim, PMH NP
5611 30th Ave,
Woodside, NY 11377-7956
Ph: (646) 761-9279 | Hassan Ibrahim, PMH NP
5611 30th Ave,
Woodside, NY 11377-7956
Ph: (646) 761-9279 |
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