Deanah A Jibril, DO | |
19330 Jesse Ln Ste 100, Riverside, CA 92508-5077 | |
(951) 847-8000 | |
Not Available |
Full Name | Deanah A Jibril |
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Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 19330 Jesse Ln Ste 100, Riverside, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134183114 | NPI | - | NPPES |
0060DF | Other | TX | BLUE CROSS |
2362989 | Other | TX | AETNA |
030902301 | Medicaid | TX | |
2544257 | Other | CIGNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 20A17489 (California) | Secondary |
207V00000X | Obstetrics & Gynecology | J9718 (Texas) | Primary |
Entity Name | Pediatrix Medical Group Of Texas Billing Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649377359 PECOS PAC ID: 0042283921 Enrollment ID: O20110907001264 |
Entity Name | Obhg Texas Holdings Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083917769 PECOS PAC ID: 3577713072 Enrollment ID: O20121018000279 |
Mailing Address | Practice Location Address |
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Deanah A Jibril, DO 3212 Saint Georges Dr, Plano, TX 75093-4719 Ph: (972) 867-4880 | Deanah A Jibril, DO 19330 Jesse Ln Ste 100, Riverside, CA 92508-5077 Ph: (951) 847-8000 |
Edward Anthony Matuga, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 6405 Day St, Riverside, CA 92507 Phone: 951-697-5500 Fax: 951-697-5508 | |
Dr. Walter M Marcus, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 8945 Magnolia Ave, #202, Riverside, CA 92503 Phone: 951-687-8945 Fax: 951-687-1042 | |
Dr. Diane Connelly, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 10800 Magnolia Ave, Rmc-3, Rm. 3207, Riverside, CA 92505 Phone: 951-353-4912 Fax: 951-353-5838 | |
Richard Timothy Chen, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 10800 Magnolia Ave, Department Of Ob-gyn, Riverside, CA 92505 Phone: 503-757-1195 | |
Dr. Nayeema Ahmed, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3975 Jackson St, Ste. #110, Riverside, CA 92503 Phone: 951-351-1071 Fax: 951-351-1207 | |
Bilal Rafic Kaaki, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 6926 Brockton Ave Ste 4, Riverside, CA 92506 Phone: 844-400-2236 Fax: 951-382-4111 | |
Sudha Moola, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3975 Jackson St, Suite #208, Riverside, CA 92503 Phone: 951-732-7834 Fax: 951-352-7758 |