Abdisamad Mohamed Ibrahim, MD - Medicare Internal Medicine in Bridgeport, CT

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Abdisamad Mohamed Ibrahim, MD is a medicare enrolled "Internal Medicine" physician in Bridgeport, Connecticut. His current practice location is 267 Grant St, Bridgeport, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 384-3000.

Abdisamad Mohamed Ibrahim is licensed to practice in Connecticut (license number 75501) 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 1922538834.

Contact Information

Abdisamad Mohamed Ibrahim, MD
267 Grant St,
Bridgeport, CT 06610-2805
(203) 384-3000
Not Available

Map and Direction




Physician's Profile

Full NameAbdisamad Mohamed Ibrahim
GenderMale
SpecialityInternal Medicine
Location267 Grant St, Bridgeport, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1922538834
  • Provider Enumeration Date: 06/13/2017
  • Last Update Date: 10/28/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6002185667
  • Enrollment ID: I20211006001516

Medical Identifiers

Medical identifiers for Abdisamad Mohamed Ibrahim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922538834NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 68572 (Minnesota)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207R00000XInternal Medicine 75501 (Connecticut)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. Abdisamad Mohamed Ibrahim allows following entities to bill medicare on his behalf.
Entity NameFairview Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013994359
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461
Entity NameFairview Clinics
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346432218
PECOS PAC ID: 7113830142
Enrollment ID: O20031106000516
Entity NameHealtheast Medical Research Institute
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639125503
PECOS PAC ID: 3971407636
Enrollment ID: O20031124000507
Entity NameAllina Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295272342
PECOS PAC ID: 4587573613
Enrollment ID: O20040319000460
Entity NameFairview Express Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053952606
PECOS PAC ID: 3375645179
Enrollment ID: O20081028000548

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. Abdisamad Mohamed 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 AddressPractice Location Address
Abdisamad Mohamed Ibrahim, MD
420 Delaware St Se,
Minneapolis, MN 55455-0341

Ph: (612) 625-9100		Abdisamad Mohamed Ibrahim, MD
267 Grant St,
Bridgeport, CT 06610-2805

Ph: (203) 384-3000

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.