Dr Maryam Ibrahim, AGNP-BC - Medicare Nurse Practitioner in Freehold, NJ

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Dr Maryam Ibrahim, AGNP-BC is a medicare enrolled "Nurse Practitioner - Adult Health" in Freehold, New Jersey. Her current practice location is 901 W Main St, Freehold, New Jersey. You can reach out to her office (for appointments etc.) via phone at (732) 866-0800.

Dr Maryam Ibrahim is licensed to practice in New York (license number F307226-1) 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 1407231012.

Contact Information

Dr Maryam Ibrahim, AGNP-BC
901 W Main St,
Freehold, NJ 07728-2537
(732) 866-0800
(732) 866-0018

Map and Direction




Provider's Profile

Full NameDr Maryam Ibrahim
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location901 W Main St, Freehold, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1407231012
  • Provider Enumeration Date: 07/24/2015
  • Last Update Date: 08/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8224308796
  • Enrollment ID: I20170717003284

Medical Identifiers

Medical identifiers for Dr Maryam Ibrahim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407231012NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health F307226-1 (New York)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. Dr Maryam Ibrahim allows following entities to bill medicare on her behalf.
Entity NameNew York City Health And Hospitals Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548208127
PECOS PAC ID: 4183535305
Enrollment ID: O20040322001521
Entity NameMaimonides Faculty Practice Plan
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053344846
PECOS PAC ID: 7012808348
Enrollment ID: O20040324000597

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. Dr Maryam 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 AddressPractice Location Address
Dr Maryam Ibrahim, AGNP-BC
901 W Main St,
Freehold, NJ 07728-2537

Ph: (732) 866-0800		Dr Maryam Ibrahim, AGNP-BC
901 W Main St,
Freehold, NJ 07728-2537

Ph: (732) 866-0800

Reviews and Comments


Nurse Practitioner Nurses in Freehold, NJ

Deborah A Foley, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 901 W Main St, Freehold, NJ 07728
Phone: 732-431-2000    
Lori Shakour, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4 Paragon Way Ste 300, Freehold, NJ 07728
Phone: 732-462-9800    
Jennifer Levitt, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 35 Court St Ste 1c, Freehold, NJ 07728
Phone: 609-582-4700    Fax: 279-300-3710
Diane Yacono, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 901 W Main St, Freehold, NJ 07728
Phone: 732-294-2674    Fax: 732-761-8084
Tangie Calascione, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 597 Park Ave, Freehold, NJ 07728
Phone: 732-294-2540    
Caroline Blanca Kosowsky, APN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1001 W Main St, Freehold, NJ 07728
Phone: 732-637-8444    
Ms. Christine Coyle, AGACNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3499 Route 9 N, Freehold, NJ 07728
Phone: 732-370-3563    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.