Ebtesam Islam, MD, PHD in Lubbock, TX - Medicare Critical Care (intensivists)

Ebtesam Islam, MD, PHD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Lubbock, Texas. She went to Texas Tech University Health Science Center School Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Critical Care (intensivists). She is a member of the group practice Texas Tech University Health Sciences Center Lubbock and her current practice location is 3601 4th St, Ms 9410, Lubbock, Texas. You can reach out to her office (for appointments etc.) via phone at (806) 743-3155.

Ebtesam Islam is licensed to practice in Texas (license number R0253) 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 1710208913.

Contact Information

	Ebtesam Islam, MD, PHD
	3601 4th St, Ms 9410, Lubbock, TX 79430-9410
	(806) 743-3155
	(806) 743-3143

Map and Direction

Physician's Profile

Full Name	Ebtesam Islam
Gender	Female
Speciality	Critical Care (intensivists)
Experience	15 Years
Location	3601 4th St, Lubbock, Texas
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:

Ebtesam Islam attended and graduated from Texas Tech University Health Science Center School Of Medicine in 2009

NPI Data:

NPI Number: 1710208913
Provider Enumeration Date: 06/22/2010
Last Update Date: 11/10/2021

Medicare PECOS Information:

PECOS PAC ID: 8325337082
Enrollment ID: I20161031000644

Medical Identifiers

Medical identifiers for Ebtesam Islam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710208913	NPI	-	NPPES
363703501	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RP1001X	Internal Medicine - Pulmonary Disease	R0253 (Texas)	Secondary
207RC0200X	Internal Medicine - Critical Care Medicine	R0253 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Medical Center	Lubbock, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Texas Tech University Health Sciences Center Lubbock	4385549674	318

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. Ebtesam Islam allows following entities to bill medicare on her behalf.

Entity Name	Texas Tech University Health Sciences Center Lubbock
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063461358 PECOS PAC ID: 4385549674 Enrollment ID: O20110318000468

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. Ebtesam Islam 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
Ebtesam Islam, MD, PHD 3601 4th St, Ms 9410, Lubbock, TX 79430-9410 Ph: (806) 743-3155	Ebtesam Islam, MD, PHD 3601 4th St, Ms 9410, Lubbock, TX 79430-9410 Ph: (806) 743-3155

Reviews and Comments

Internal Medicine Doctors in Lubbock, TX

Mustafa Aly, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 3615 19th St, Lubbock, TX 79410 Phone: 806-725-4130
Dr. Nuvneet N/a Khandelwal, MD, MBA Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 4816 7th St, Lubbock, TX 79416 Phone: 432-230-3005
Janice Stachowiak, M.D. Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 3601 4th St, Lubbock, TX 79430 Phone: 806-743-3150 Fax: 806-743-3168
M Alan Sharif, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 4802 N Loop 289, Lubbock, TX 79416 Phone: 806-788-0040 Fax: 806-788-0015
Dr. Vernon Farthing, MD Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 3502 9th St, Ste. 210, Lubbock, TX 79415 Phone: 806-762-8461
Ashref Mohamed, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 3415 19th St, Lubbock, TX 79410 Phone: 806-725-4130
Sima Lina Shahbandar, MD Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 3601 4th St # Ms 9410, Lubbock, TX 79430 Phone: 806-743-6840

Ebtesam Islam, MD, PHD - Medicare Critical Care (intensivists) in Lubbock, TX