Dr Therese A Ibrahim, MD in Ormond Beach, FL

Dr Therese A Ibrahim, MD is a medicare enrolled "Family Medicine" physician in Ormond Beach, Florida. She graduated from medical school in 1992 and has 33 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Conviva Medical Center Management, Llc and her current practice location is 420 S Nova Rd Ste 4&5, Ormond Beach, Florida. You can reach out to her office (for appointments etc.) via phone at (386) 615-8122.

Dr Therese A Ibrahim is licensed to practice in Florida (license number ME94322) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063514172.

Contact Information

	Dr Therese A Ibrahim, MD
	420 S Nova Rd Ste 4&5, Ormond Beach, FL 32174-0410
	(386) 615-8122
	(844) 899-3686

Map and Direction

Physician's Profile

Full Name	Dr Therese A Ibrahim
Gender	Female
Speciality	Family Practice
Experience	33 Years
Location	420 S Nova Rd Ste 4&5, Ormond Beach, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Therese A Ibrahim graduated from medical school in 1992

NPI Data:

NPI Number: 1063514172
Provider Enumeration Date: 09/01/2006
Last Update Date: 11/29/2021

Medicare PECOS Information:

PECOS PAC ID: 5890871768
Enrollment ID: I20080319000022

Medical Identifiers

Medical identifiers for Dr Therese A Ibrahim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063514172	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	ME94322 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Vitas Healthcare Corporation Of Florida	Melbourne, FL	Hospice

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Conviva Medical Center Management, Llc	4284717422	346

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 Therese A Ibrahim allows following entities to bill medicare on her behalf.

Entity Name	Conviva Medical Center Management, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649324278 PECOS PAC ID: 4284717422 Enrollment ID: O20080212000415

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 Therese A 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 Therese A Ibrahim, MD 6101 Blue Lagoon Dr Ste 400, Miami, FL 33126-2051 Ph: (305) 500-2000	Dr Therese A Ibrahim, MD 420 S Nova Rd Ste 4&5, Ormond Beach, FL 32174-0410 Ph: (386) 615-8122

Reviews and Comments

Family Medicine Doctors in Ormond Beach, FL

Dr. Richard Branoff, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 545 W Granada Blvd, Ormond Beach, FL 32174 Phone: 386-672-6243 Fax: 386-677-7463
Teresa Hernandez, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1184 Ocean Shore Blvd, Ormond Beach, FL 32176 Phone: 386-481-6102
Dr. Craig Allan Miller, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1400 Hand Ave, Suite K, Ormond Beach, FL 32174 Phone: 386-673-0517 Fax: 386-671-2771
Dr. Sandford H. Kinne Iii, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 290 Clyde Morris Blvd, Suite A-1, Ormond Beach, FL 32174 Phone: 386-677-5600 Fax: 386-677-5686
Dr. Donald Benett, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: Po Box 731327, Ormond Beach, FL 32173 Phone: 386-677-6644
Lisa Gonsalves, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 335 Clyde Morris Blvd, Suite 240, Ormond Beach, FL 32174 Phone: 386-231-3561 Fax: 386-677-6501

Dr Therese A Ibrahim, MD - Medicare Family Practice in Ormond Beach, FL