Dr John Fikry Mityas Ibrahim, MD is a medicare enrolled "Hospitalist" physician in Willowbrook, Illinois. His current practice location is
11s513 Rachael Ct, Willowbrook, Illinois. You can reach out to his office (for appointments etc.) via phone at
(331) 214-1843.
Dr John Fikry Mityas Ibrahim is licensed to practice in Indiana (license number 01084871A) 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 1134675218.
Physician's Profile
| Full Name | Dr John Fikry Mityas Ibrahim |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 11s513 Rachael Ct, Willowbrook, Illinois |
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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 John Fikry Mityas Ibrahim attended and graduated from in
NPI Data:
- NPI Number: 1134675218
- Provider Enumeration Date: 08/29/2016
- Last Update Date: 11/06/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr John Fikry Mityas Ibrahim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134675218 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 125069705 (Illinois) | Secondary |
| 207R00000X | Internal Medicine | 036147616 (Illinois) | Secondary |
| 208M00000X | Hospitalist | 1018-320 (Wisconsin) | Secondary |
| 208M00000X | Hospitalist | 036147616 (Illinois) | Secondary |
| 208M00000X | Hospitalist | ME151077 (Florida) | Secondary |
| 208M00000X | Hospitalist | 01084871A (Indiana) | Primary |
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 John Fikry Mityas 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 |
|---|
Dr John Fikry Mityas Ibrahim, MD
11s513 Rachael Ct,
Willowbrook, IL 60527-6899
Ph: (331) 214-1843 | Dr John Fikry Mityas Ibrahim, MD
11s513 Rachael Ct,
Willowbrook, IL 60527-6899
Ph: (331) 214-1843 |
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