Dr Samuel Assad Amin Ibrahim, MD is a medicare enrolled "Surgery" physician in La Quinta, California. He graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as General Surgery. His current practice location is
79180 Corporate Center Dr, Ste 101, La Quinta, California. You can reach out to his office (for appointments etc.) via phone at
(760) 837-7910.
Dr Samuel Assad Amin Ibrahim is licensed to practice in Ohio (license number 35.121784) 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 1326212358.
Physician's Profile
| Full Name | Dr Samuel Assad Amin Ibrahim |
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| Gender | Male |
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| Speciality | General Surgery |
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| Experience | 22 Years |
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| Location | 79180 Corporate Center Dr, La Quinta, California |
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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 Samuel Assad Amin Ibrahim graduated from medical school in 2002
NPI Data:
- NPI Number: 1326212358
- Provider Enumeration Date: 04/22/2008
- Last Update Date: 04/18/2016
Medicare PECOS Information:
- PECOS PAC ID: 7416191143
- Enrollment ID: I20160531001304
Medical Identifiers
Medical identifiers for Dr Samuel Assad Amin Ibrahim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1326212358 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | 35.121784 (Ohio) | Primary |
Medical Facilities Affiliation
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 Samuel Assad Amin Ibrahim allows following entities to bill medicare on his behalf.
| Entity Name | Desert Trauma Surgeons Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144225426
PECOS PAC ID: 0547366106
Enrollment ID: O20070428000140 |
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| Entity Name | Samuel Ibrahim, Md, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184081432
PECOS PAC ID: 5294025474
Enrollment ID: O20160531001177 |
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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 Samuel Assad Amin 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 |
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Dr Samuel Assad Amin Ibrahim, MD
79180 Corporate Center Dr, Ste 101,
La Quinta, CA 92253-7235
Ph: (760) 837-7910 | Dr Samuel Assad Amin Ibrahim, MD
79180 Corporate Center Dr, Ste 101,
La Quinta, CA 92253-7235
Ph: (760) 837-7910 |
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