Fahim K Ibrahim, MD is a medicare enrolled "Ophthalmology" physician in Fort Gratiot, Michigan. He graduated from medical school in 1974 and has 50 years of diverse experience with area of expertise as Ophthalmology. His current practice location is
4190 24th Ave, Suite 204, Fort Gratiot, Michigan. You can reach out to his office (for appointments etc.) via phone at
(810) 989-7702.
Fahim K Ibrahim is licensed to practice in Michigan (license number FI067033) 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 1376611251.
Physician's Profile
Full Name | Fahim K Ibrahim |
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Gender | Male |
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Speciality | Ophthalmology |
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Experience | 50 Years |
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Location | 4190 24th Ave, Fort Gratiot, Michigan |
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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. |
Medical Education and Training:
- Fahim K Ibrahim graduated from medical school in 1974
NPI Data:
- NPI Number: 1376611251
- Provider Enumeration Date: 12/01/2006
- Last Update Date: 10/20/2011
Medicare PECOS Information:
- PECOS PAC ID: 8527087899
- Enrollment ID: I20051121000010
Medical Identifiers
Medical identifiers for Fahim K Ibrahim such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376611251 | NPI | - | NPPES |
3350530 | Medicaid | MI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207W00000X | Ophthalmology | FI067033 (Michigan) | 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. Fahim K Ibrahim allows following entities to bill medicare on his behalf.
Entity Name | Fahim K Ibrahim Md Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1225201767 PECOS PAC ID: 6800815176 Enrollment ID: O20051116000076 |
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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. Fahim K 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 |
Fahim K Ibrahim, MD 4190 24th Ave, Suite 204, Fort Gratiot, MI 48059-3882 Ph: (810) 989-7702 | Fahim K Ibrahim, MD 4190 24th Ave, Suite 204, Fort Gratiot, MI 48059-3882 Ph: (810) 989-7702 |
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