Dr Ihsan I Jabbour, MD is a medicare enrolled "General Practice" physician in Waterbury, Connecticut. He graduated from medical school in 1976 and has 48 years of diverse experience with area of expertise as General Surgery. 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 |
|---|
| Gender | Male |
|---|
| Speciality | General Surgery |
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| Experience | 48 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. |
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Medical Education and Training:
- Dr Ihsan I Jabbour graduated from medical school in 1976
NPI Data:
- NPI Number: 1407899610
- Provider Enumeration Date: 06/14/2006
- Last Update Date: 01/19/2017
Medicare PECOS Information:
- PECOS PAC ID: 4385787639
- Enrollment ID: I20100209000009
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 |
Medical Facilities Affiliation
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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