Mr Alim Alusine Ibrahim, PA-C is a medicare enrolled "Physician Assistant" in Prunedale, California. His current practice location is
8036 San Miguel Canyon Rd, Prunedale, California. You can reach out to his office (for appointments etc.) via phone at
(617) 838-4702.
Mr Alim Alusine 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 1598420572.
Provider's Profile
| Full Name | Mr Alim Alusine Ibrahim |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 8036 San Miguel Canyon Rd, Prunedale, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1598420572
- Provider Enumeration Date: 11/03/2021
- Last Update Date: 04/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 4284014069
- Enrollment ID: I20250530001959
Medical Identifiers
Medical identifiers for Mr Alim Alusine Ibrahim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1598420572 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | (* (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. Mr Alim Alusine Ibrahim allows following entities to bill medicare on his behalf.
| Entity Name | Cook County |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588612832 PECOS PAC ID: 2860398088 Enrollment ID: O20031209000747 |
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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. Mr Alim Alusine 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 |
Mr Alim Alusine Ibrahim, PA-C 17539 Vierra Canyon Rd, Prunedale, CA 93907-3350 Ph: (617) 838-4702 | Mr Alim Alusine Ibrahim, PA-C 8036 San Miguel Canyon Rd, Prunedale, CA 93907-1208 Ph: (617) 838-4702 |
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