Rana Ibrahim, in Port Hueneme, CA - Medicare Dentist Provider

Rana Ibrahim, is a medicare enrolled "Dentist - General Practice" provider in Port Hueneme, California. Her current practice location is 607 W Channel Islands Blvd, Port Hueneme, California. You can reach out to her office (for appointments etc.) via phone at (805) 985-5500.

Rana Ibrahim is licensed to practice in California (license number DDS105874) 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 1710575246.

Contact Information

	Rana Ibrahim,
	607 W Channel Islands Blvd, Port Hueneme, CA 93041-2136
	(805) 985-5500
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Rana Ibrahim
Gender	Female
Speciality	Dentist - General Practice
Location	607 W Channel Islands Blvd, Port Hueneme, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710575246
Provider Enumeration Date: 01/10/2021
Last Update Date: 01/10/2021

Medicare PECOS Information:

PECOS PAC ID: 8123552262
Enrollment ID: I20241118000747

Medical Identifiers

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

Identifier	Type	State	Issuer
1710575246	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	DDS105874 (California)	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. Rana Ibrahim allows following entities to bill medicare on her behalf.

Entity Name	Apollo General Dentistry Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467279307 PECOS PAC ID: 7214461359 Enrollment ID: O20241112000924

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. Rana 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
Rana Ibrahim, 607 W Channel Islands Blvd, Port Hueneme, CA 93041-2136 Ph: (805) 985-5500	Rana Ibrahim, 607 W Channel Islands Blvd, Port Hueneme, CA 93041-2136 Ph: (805) 985-5500

Reviews and Comments

Dentist in Port Hueneme, CA

Dr. Gustavo Ariel Assatourians, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 2601 N Ventura Rd, Port Hueneme, CA 93041 Phone: 805-985-6966
Rutu Jignesh Shah, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 521 W Channel Islands Blvd Ste 8, Port Hueneme, CA 93041 Phone: 805-815-4356
Dr. Gyutae Jin, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 162 1st St Bldg 1402, Port Hueneme, CA 93043 Phone: 805-982-6342
Dr. David Kenneth White, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 162 1st St, Port Hueneme, CA 93043 Phone: 805-982-6370 Fax: 805-982-1133
Dr. Martha Plagge Rabkin, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 720 23rd Ave Bldg 914, Port Hueneme, CA 93043 Phone: 760-719-3236
Dr. Paul Insik Lim, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 720 23rd Ave, Bldg 914, Port Hueneme, CA 93043 Phone: 805-982-5584
Dr. Michael Kenneth Holler, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 720 23rd Ave Bldg 914, Port Hueneme, CA 93043 Phone: 805-982-5584

Rana Ibrahim, - Medicare Dentist in Port Hueneme, CA