Dr Mian A Ibrahim, MD | |
1214 Coolidge Blvd, Lafayette, LA 70503-2621 | |
(337) 261-7970 | |
Not Available |
Full Name | Dr Mian A Ibrahim |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 39 Years |
Location | 1214 Coolidge Blvd, Lafayette, Louisiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124015508 | NPI | - | NPPES |
1486914 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 24548 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lafayette General Medical Center | Lafayette, LA | Hospital |
University Hospital & Clinics | Lafayette, LA | Hospital |
St Martin Hospital | Breaux bridge, LA | Hospital |
Abrom Kaplan Memorial Hospital | Kaplan, LA | Hospital |
Iberia Medical Center | New iberia, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Regional Radiology, Llc | 2860404811 | 38 |
Entity Name | Regional Radiology, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336192863 PECOS PAC ID: 2860404811 Enrollment ID: O20060613000013 |
Mailing Address | Practice Location Address |
---|---|
Dr Mian A Ibrahim, MD Po Box 53127, Lafayette, LA 70505-3127 Ph: (337) 261-7970 | Dr Mian A Ibrahim, MD 1214 Coolidge Blvd, Lafayette, LA 70503-2621 Ph: (337) 261-7970 |
Dr. Rodney Severin Florek, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 4801 Ambassador Caffery Parkway, Lourdes Rmc, Lafayette, LA 70508 Phone: 337-470-2180 Fax: 337-470-2180 | |
Dr. Julian J. Krawczyk, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4809 Ambassador Caffery Pkwy, Suite 100, Lafayette, LA 70508 Phone: 337-769-8660 Fax: 337-769-8661 | |
Dr. Robert C. Osborne, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1214 Coolidge Blvd, Lafayette, LA 70503 Phone: 337-261-7970 | |
Dr. Kyle Jacob Degeyter, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508 Phone: 337-470-2000 | |
Mary Maitland Deland, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1507 Alice Dr, Lafayette, LA 70503 Phone: 337-989-0812 Fax: 337-284-3799 | |
Dr. John Frederick Anderson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4809 Ambassador Caffery Pkwy, Suite 100, Lafayette, LA 70508 Phone: 337-769-8660 Fax: 337-769-8661 |