Dr Hazim Ibrahim, DPM in Fort Wayne, IN - Medicare Podiatrist Provider

Dr Hazim Ibrahim, DPM is a medicare enrolled "Podiatrist" provider in Fort Wayne, Indiana. His current practice location is 7527 Thoroughbred Dr Apt 3d, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (440) 840-3692.

Dr Hazim Ibrahim is licensed to practice in Indiana (license number 07001283A) 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 1417337353.

Contact Information

	Dr Hazim Ibrahim, DPM
	7527 Thoroughbred Dr Apt 3d, Fort Wayne, IN 46804
	(440) 840-3692
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Hazim Ibrahim
Gender	Male
Speciality	Podiatrist
Location	7527 Thoroughbred Dr Apt 3d, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417337353
Provider Enumeration Date: 06/05/2015
Last Update Date: 07/19/2018

Medicare PECOS Information:

PECOS PAC ID: 8224385000
Enrollment ID: I20180725001146

Medical Identifiers

Medical identifiers for Dr Hazim Ibrahim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417337353	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213E00000X	Podiatrist	07001283A (Indiana)	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 Hazim Ibrahim allows following entities to bill medicare on his behalf.

Provider Name	Healthdrive Podiatry Group Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1689613598 PECOS PAC ID: 3375446958 Enrollment ID: O20200121000570

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 Hazim 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 Hazim Ibrahim, DPM 7527 Thoroughbred Dr Apt 3d, Fort Wayne, IN 46804-2362 Ph: (408) 403-6924	Dr Hazim Ibrahim, DPM 7527 Thoroughbred Dr Apt 3d, Fort Wayne, IN 46804 Ph: (440) 840-3692

Reviews and Comments

Podiatrist in Fort Wayne, IN

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Dr. Jonathan Detommaso, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 7601 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-436-8686 Fax: 260-436-8585
Julie Ferland, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 11143 Parkview Plaza Dr Ste 100, Fort Wayne, IN 46845 Phone: 260-425-6300 Fax: 260-266-7355
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Dr Hazim Ibrahim, DPM - Medicare Podiatrist in Fort Wayne, IN