Miriam Lela Ibrahim, MD | |
1107 S Tillotson Ave, Ste 1, Muncie, IN 47304-4517 | |
(765) 213-3024 | |
(765) 282-9303 |
Full Name | Miriam Lela Ibrahim |
---|---|
Gender | Female |
Speciality | Pain Management |
Experience | 38 Years |
Location | 1107 S Tillotson Ave, Muncie, Indiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194768549 | NPI | - | NPPES |
20174740 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 01047444A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Indiana University Health Ball Memorial Hospital | Muncie, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Open Door Health Services Inc | 5890696603 | 30 |
Entity Name | Open Door Health Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770510240 PECOS PAC ID: 5890696603 Enrollment ID: O20040115000592 |
Mailing Address | Practice Location Address |
---|---|
Miriam Lela Ibrahim, MD Po Box 1889, Muncie, IN 47308-1889 Ph: (765) 284-0493 | Miriam Lela Ibrahim, MD 1107 S Tillotson Ave, Ste 1, Muncie, IN 47304-4517 Ph: (765) 213-3024 |
Cody Hartz, MA, ATC Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2000 W University Ave, Muncie, IN 47306 Phone: 765-285-4469 | |
Miss Janvi Bhadra, MPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 3911 W Clara Ln, Muncie, IN 47304 Phone: 765-587-0241 Fax: 765-245-9833 | |
Boris Vitvitskiy, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2525 W University Ave, Muncie, IN 47303 Phone: 765-751-5886 Fax: 765-751-5889 | |
Dr. Robert A Lillo, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3600 W Bethel Ave, Muncie, IN 47304 Phone: 765-284-7738 Fax: 765-213-3713 |