Dr Ihsan I Jabbour, MD is a medicare enrolled "General Practice" physician in Waterbury, Connecticut. His current practice location is
171 Grandview Ave, Suite # 105, Waterbury, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(203) 755-2214.
Dr Ihsan I Jabbour is licensed to practice in Connecticut (license number 026820) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1407899610.
Physician's Profile
Full Name | Dr Ihsan I Jabbour |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 171 Grandview Ave, Waterbury, Connecticut |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Ihsan I Jabbour attended and graduated from in
NPI Data:
- NPI Number: 1407899610
- Provider Enumeration Date: 06/14/2006
- Last Update Date: 01/19/2017
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Ihsan I Jabbour such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407899610 | NPI | - | NPPES |
001268200 | Medicaid | CT | |
010026820CT03 | Other | CT | BC/BS |
135799 | Other | FL | WELLCARE |
P2041646 | Other | CT | OXFORD |
061212173 | Other | UT | UNITED HEALTH CARE |
061212173 | Other | CT | AEBH |
712173 | Other | CT | CONNECTICARE |
061212173 0005 | Other | TN | CIGNA |
0R0697 | Other | CT | PHS |
0004112221 | Other | CT | AETNA |
026820CT NO2 | Other | CT | CONNECTICARE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207PE0005X | Emergency Medicine - Undersea And Hyperbaric Medicine | 026820 (Connecticut) | Secondary |
208600000X | Surgery | 026820 (Connecticut) | Secondary |
208D00000X | General Practice | 026820 (Connecticut) | Primary |
207Q00000X | Family Medicine | 026820 (Connecticut) | Secondary |
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 Ihsan I Jabbour 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 Ihsan I Jabbour, MD 171 Grandview Ave, Suite # 105, Waterbury, CT 06708-2517 Ph: (203) 755-2214 | Dr Ihsan I Jabbour, MD 171 Grandview Ave, Suite # 105, Waterbury, CT 06708-2517 Ph: (203) 755-2214 |
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