Dr Rami Boutros Ibrahim, PHARMD, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Detroit, Michigan. His current practice location is
4201 St. Antoine, Uhc 9c, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at
(313) 745-5147.
Dr Rami Boutros Ibrahim is licensed to practice in Michigan (license number 5151013993) 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 1477651289.
Healthcare Provider's Profile
| Full Name | Dr Rami Boutros Ibrahim |
|---|
| Gender | Male |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 4201 St. Antoine, Detroit, Michigan |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1477651289
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 05/23/2019
Medicare PECOS Information:
- PECOS PAC ID: 3476886276
- Enrollment ID: I20190611000779
Medical Identifiers
Medical identifiers for Dr Rami Boutros Ibrahim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477651289 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 5302031866 (Michigan) | Secondary |
| 1835P1200X | Pharmacist - Pharmacotherapy | 5302031866 (Michigan) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 5151013993 (Michigan) | Primary |
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 Rami Boutros 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 |
|---|
Dr Rami Boutros Ibrahim, PHARMD, DO
4201 St. Antoine, Uhc 9c,
Detroit, MI 48201-1427
Ph: (313) 745-5147 | Dr Rami Boutros Ibrahim, PHARMD, DO
4201 St. Antoine, Uhc 9c,
Detroit, MI 48201-1427
Ph: (313) 745-5147 |
Reviews and Comments