Dr Khaled Ibrahim, MD - Medicare General Practice in Palm Coast, FL

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Dr Khaled Ibrahim, MD is a medicare enrolled "General Practice" physician in Palm Coast, Florida. His current practice location is 264a Palm Coast Pkwy Ne, Palm Coast, Florida. You can reach out to his office (for appointments etc.) via phone at (386) 446-5505.

Dr Khaled Ibrahim is licensed to practice in Florida (license number ACN1088) 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 1497108393.

Contact Information

Dr Khaled Ibrahim, MD
264a Palm Coast Pkwy Ne,
Palm Coast, FL 32137-8217
(386) 446-5505
Not Available

Map and Direction




Physician's Profile

Full NameDr Khaled Ibrahim
GenderMale
SpecialityGeneral Practice
Location264a Palm Coast Pkwy Ne, Palm Coast, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1497108393
  • Provider Enumeration Date: 07/15/2016
  • Last Update Date: 05/10/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7113349663
  • Enrollment ID: I20200630000065

Medical Identifiers

Medical identifiers for Dr Khaled Ibrahim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497108393NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 19420 (Puerto Rico)Secondary
208D00000XGeneral Practice ACN1088 (Florida)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. Dr Khaled Ibrahim allows following entities to bill medicare on his behalf.
Entity NameRoy H Hinman Md Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649383845
PECOS PAC ID: 3173584174
Enrollment ID: O20041022000798
Entity NameAlina Community Center At Mount Dora Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811550346
PECOS PAC ID: 9032530829
Enrollment ID: O20200603001057
Entity NameIsland Doctors Intrastate Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568083889
PECOS PAC ID: 5395161186
Enrollment ID: O20200811001733

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 Khaled 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
Dr Khaled Ibrahim, MD
100 Arricola Ave,
St Augustine, FL 32080-4515

Ph: (904) 825-4368		Dr Khaled Ibrahim, MD
264a Palm Coast Pkwy Ne,
Palm Coast, FL 32137-8217

Ph: (386) 446-5505

Reviews and Comments


General Practice Doctors in Palm Coast, FL

Dr. Rommelle Von Such, M.D.
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Practice Location: 1 Florida Park Dr N, Suite 109-110, Palm Coast, FL 32137
Phone: 386-445-3619    Fax: 386-445-6925
Dr. Alexandra Marion Pamela Kostick, M.D.
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Practice Location: 3 Pine Cone Dr, Suite 104, Palm Coast, FL 32137
Phone: 386-446-9590    Fax: 386-446-2245
Dr. Canice Chukwuocha, MD
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Practice Location: 264a Palm Coast Pkwy Ne, Palm Coast, FL 32137
Phone: 386-446-5505    
Dr. Yesenia E Justiniano Rosario, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 2 Mccormick Dr, Palm Coast, FL 32164
Phone: 386-246-7365    Fax: 386-246-7335
Dr. Jerry L Waikins, M.D.
General Practice
Medicare: Medicare Enrolled
Practice Location: 120 Cypress Edge Dr Ste 102, Palm Coast, FL 32164
Phone: --    
Dr. Alex Ramon Taveras-cruz, M.D.
General Practice
Medicare: Accepting Medicare Assignments
Practice Location: 264a Palm Coast Pkwy Ne, Palm Coast, FL 32137
Phone: 386-446-5505    Fax: 386-446-5077

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.