Dr Majd Ibrahim, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Salt Lake Cty, Utah. His current practice location is
50 W Broadway Ste 300, Salt Lake Cty, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 738-8938.
Dr Majd Ibrahim is licensed to practice in Utah (license number 10196385-1205) 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 1700199627.
Physician's Profile
Full Name | Dr Majd Ibrahim |
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Gender | Male |
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Speciality | Internal Medicine - Cardiovascular Disease |
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Location | 50 W Broadway Ste 300, Salt Lake Cty, Utah |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1700199627
- Provider Enumeration Date: 07/20/2010
- Last Update Date: 11/16/2023
Medicare PECOS Information:
- PECOS PAC ID: 9133440464
- Enrollment ID: I20180530001062
Medical Identifiers
Medical identifiers for Dr Majd Ibrahim such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700199627 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RC0000X | Internal Medicine - Cardiovascular Disease | 130389 (Montana) | Secondary |
207RC0000X | Internal Medicine - Cardiovascular Disease | 10196385-1205 (Utah) | 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 Majd Ibrahim allows following entities to bill medicare on his behalf.
Entity Name | Tooele Clinic Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073512364 PECOS PAC ID: 6800700873 Enrollment ID: O20031113000800 |
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Entity Name | University Of Utah Adult Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683 |
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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 Majd 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 Majd Ibrahim, MD 50 W Broadway Ste 300, Salt Lake Cty, UT 84101-2044 Ph: () - | Dr Majd Ibrahim, MD 50 W Broadway Ste 300, Salt Lake Cty, UT 84101-2044 Ph: (801) 738-8938 |
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