Dr Ibrahim Sablaban, is a medicare enrolled "Psychiatry & Neurology - Psychiatry" provider in Detroit, Michigan. His current practice location is
2799 W. Grand Blvd, Henry Ford Hospital, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at
(313) 874-6611.
Dr Ibrahim Sablaban is licensed to practice in Michigan (license number 5101022446) 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 1831553528.
Healthcare Provider's Profile
| Full Name | Dr Ibrahim Sablaban |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 2799 W. Grand Blvd, Detroit, Michigan |
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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: 1831553528
- Provider Enumeration Date: 04/08/2016
- Last Update Date: 03/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 6800188012
- Enrollment ID: I20200413002431
Medical Identifiers
Medical identifiers for Dr Ibrahim Sablaban such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1831553528 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 183500000X | Pharmacist | 5315076014 (Michigan) | Secondary |
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | 5101022446 (Michigan) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 5101022446 (Michigan) | 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 Ibrahim Sablaban allows following entities to bill medicare on his behalf.
| Entity Name | Oxford Integrated Health Solutions Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003151580
PECOS PAC ID: 8628215795
Enrollment ID: O20130508000551 |
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| Entity Name | Beaumont Medical Group Hospital Based Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427567858
PECOS PAC ID: 3072875889
Enrollment ID: O20180314001796 |
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| Entity Name | Recovery Physicians Network Of Michigan |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689343683
PECOS PAC ID: 5597162552
Enrollment ID: O20210920000260 |
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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. Dr Ibrahim Sablaban 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 |
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Dr Ibrahim Sablaban,
441 S Melborn St,
Dearborn, MI 48124-1620
Ph: (773) 225-0365 | Dr Ibrahim Sablaban,
2799 W. Grand Blvd, Henry Ford Hospital,
Detroit, MI 48202
Ph: (313) 874-6611 |
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