Dr Giovanni Ibrahim, DMD is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in New Haven, Connecticut. His current practice location is
330 Orchard St, New Haven, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(203) 789-3156.
Dr Giovanni Ibrahim is licensed to practice in Connecticut (license number 2.012180-RES) 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 1922598093.
Healthcare Provider's Profile
| Full Name | Dr Giovanni Ibrahim |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 330 Orchard St, New Haven, Connecticut |
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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: 1922598093
- Provider Enumeration Date: 05/15/2018
- Last Update Date: 06/04/2018
Medicare PECOS Information:
- PECOS PAC ID: 6709136005
- Enrollment ID: I20180907000792
Medical Identifiers
Medical identifiers for Dr Giovanni Ibrahim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922598093 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 2.012180-RES (Connecticut) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 2.012180-RES (Connecticut) | 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 Giovanni 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 Giovanni Ibrahim, DMD
20 York St,
New Haven, CT 06510-3220
Ph: (203) 688-9503 | Dr Giovanni Ibrahim, DMD
330 Orchard St,
New Haven, CT 06511
Ph: (203) 789-3156 |
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