Ms Intisar Ibrahim, DNP, FNP, PMHNP-BC in Paterson, NJ

Ms Intisar Ibrahim, DNP, FNP, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Paterson, New Jersey. Her current practice location is 318 21st Ave Ste 103, Paterson, New Jersey. You can reach out to her office (for appointments etc.) via phone at (201) 233-2999.

Ms Intisar Ibrahim is licensed to practice in New Jersey (license number 26NJ00467900) 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 1912335191.

Contact Information

	Ms Intisar Ibrahim, DNP, FNP, PMHNP-BC
	318 21st Ave Ste 103, Paterson, NJ 07501-3538
	(201) 233-2999
	(334) 373-4231

Map and Direction

Provider's Profile

Full Name	Ms Intisar Ibrahim
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	318 21st Ave Ste 103, Paterson, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912335191
Provider Enumeration Date: 10/24/2013
Last Update Date: 11/10/2023

Medicare PECOS Information:

PECOS PAC ID: 3072890086
Enrollment ID: I20170501000191

Medical Identifiers

Medical identifiers for Ms Intisar Ibrahim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912335191	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	26NJ00467900 (New Jersey)	Primary
363LF0000X	Nurse Practitioner - Family	26NJ00467900 (New Jersey)	Secondary

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. Ms Intisar Ibrahim allows following entities to bill medicare on her behalf.

Entity Name	Castle Hill Medical Of New York, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205949997 PECOS PAC ID: 6800993593 Enrollment ID: O20070514000486

Entity Name	Well-america Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750035879 PECOS PAC ID: 1153708425 Enrollment ID: O20220509000049

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. Ms Intisar 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
Ms Intisar Ibrahim, DNP, FNP, PMHNP-BC 318 21st Ave Ste 103, Paterson, NJ 07501-3538 Ph: (201) 233-2999	Ms Intisar Ibrahim, DNP, FNP, PMHNP-BC 318 21st Ave Ste 103, Paterson, NJ 07501-3538 Ph: (201) 233-2999

Reviews and Comments

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Ms Intisar Ibrahim, DNP, FNP, PMHNP-BC - Medicare Nurse Practitioner in Paterson, NJ