Dr Ibrahim Hussein Dabaja, PA-C, PHD - Medicare Physician Assistant in Wyandotte, MI

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Dr Ibrahim Hussein Dabaja, PA-C, PHD is a medicare enrolled "Physician Assistant - Medical" in Wyandotte, Michigan. He graduated from nursing school in 2006 and has 20 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Jackson Urgent Care Pllc, Blue Water Urgent Care Pllc, Wyandotte Urgent Care Clinic, Southshore Urgent Care Pllc and his current practice location is 1768 Ford Ave, Wyandotte, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 377-5758.

Dr Ibrahim Hussein Dabaja is licensed to practice in Michigan (license number 5601004858) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1053592238.

Contact Information

Dr Ibrahim Hussein Dabaja, PA-C, PHD
1768 Ford Ave,
Wyandotte, MI 48192-2306
(313) 377-5758
(734) 574-6060

Map and Direction




Provider's Profile

Full NameDr Ibrahim Hussein Dabaja
GenderMale
SpecialityPhysician Assistant
Experience20 Years
Location1768 Ford Ave, Wyandotte, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Ibrahim Hussein Dabaja graduated from nursing school in 2006
  NPI Data:
  • NPI Number: 1053592238
  • Provider Enumeration Date: 11/16/2007
  • Last Update Date: 08/08/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 5698865921
  • Enrollment ID: I20071226000247

Medical Identifiers

Medical identifiers for Dr Ibrahim Hussein Dabaja such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053592238NPI-NPPES
1158216100OtherMIBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 5601004858 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Of Michigan HealthAnn arbor, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Jackson Urgent Care Pllc92345389015
Blue Water Urgent Care Pllc812342789522
Wyandotte Urgent Care Clinic418399615017
Southshore Urgent Care Pllc569800977714

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 Ibrahim Hussein Dabaja allows following entities to bill medicare on his behalf.
Entity NameWyandotte Urgent Care Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316467384
PECOS PAC ID: 4183996150
Enrollment ID: O20170825001715
Entity NameSouthshore Urgent Care PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356804710
PECOS PAC ID: 5698009777
Enrollment ID: O20190624001434
Entity NameJackson Urgent Care PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528643723
PECOS PAC ID: 9234538901
Enrollment ID: O20210528002120
Entity NameBlue Water Urgent Care PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477135036
PECOS PAC ID: 8123427895
Enrollment ID: O20210528002212
Entity NameBlue Water Primary Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013896638
PECOS PAC ID: 7618467119
Enrollment ID: O20251104001287

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 Ibrahim Hussein Dabaja 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 Ibrahim Hussein Dabaja, PA-C, PHD
1768 Ford Ave,
Wyandotte, MI 48192-2306

Ph: (734) 299-0712		Dr Ibrahim Hussein Dabaja, PA-C, PHD
1768 Ford Ave,
Wyandotte, MI 48192-2306

Ph: (313) 377-5758

Reviews and Comments


Physician Assistant Nurses in Wyandotte, MI

Marissa Gabrielle Romo, PA-C
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Alexis Alicia Hernandez, PA-C
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Practice Location: 2070 Biddle Ave, Wyandotte, MI 48192
Phone: 734-246-6000    
Nancy M Campbell, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2333 Biddle St, Wyandotte, MI 48192
Phone: 313-284-9400    

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.