Mr Ali Hasan Ebrahim, MD in Clinton, MO - Medicare Psychiatry & Neurology

Mr Ali Hasan Ebrahim, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Clinton, Missouri. His current practice location is 1602 N 2nd St, Clinton, Missouri. You can reach out to his office (for appointments etc.) via phone at (660) 885-5511.

Mr Ali Hasan Ebrahim is licensed to practice in Missouri (license number 2022003405) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1003344656.

Contact Information

	Mr Ali Hasan Ebrahim, MD
	1602 N 2nd St, Clinton, MO 64735-1192
	(660) 885-5511
	Not Available

Map and Direction

Physician's Profile

Full Name	Mr Ali Hasan Ebrahim
Gender	Male
Speciality	Psychiatry & Neurology - Neurology
Location	1602 N 2nd St, Clinton, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003344656
Provider Enumeration Date: 05/26/2017
Last Update Date: 07/07/2022

Medicare PECOS Information:

PECOS PAC ID: 7719259415
Enrollment ID: I20220711002477

Medical Identifiers

Medical identifiers for Mr Ali Hasan Ebrahim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003344656	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084N0400X	Psychiatry & Neurology - Neurology	2022003405 (Missouri)	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. Mr Ali Hasan Ebrahim allows following entities to bill medicare on his behalf.

Entity Name	Golden Valley Memorial Hospital District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003873266 PECOS PAC ID: 4688561814 Enrollment ID: O20040407001299

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. Mr Ali Hasan Ebrahim 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
Mr Ali Hasan Ebrahim, MD 1602 N 2nd St, Clinton, MO 64735-1192 Ph: (660) 885-5511	Mr Ali Hasan Ebrahim, MD 1602 N 2nd St, Clinton, MO 64735-1192 Ph: (660) 885-5511

Reviews and Comments

Psychiatry & Neurology Doctors in Clinton, MO

Dr. Kamna Handa, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1800 Community, Clinton, MO 64735 Phone: 888-403-1071 Fax: 660-885-3690
Rahat Whig, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1800 Community, Clinton, MO 64735 Phone: 844-853-8937
Dr. Bevila John-daniel, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1800 Community, Clinton, MO 64735 Phone: 888-403-1071
Dr. Rocksheng Zhong, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1800 Community Dr, Clinton, MO 64735 Phone: 205-504-3187
John B Crane, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1800 Community, Clinton, MO 64735 Phone: 660-885-8131 Fax: 660-885-3690
Rita M Desai, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1800 Community, Clinton, MO 64735 Phone: 888-403-1071

Mr Ali Hasan Ebrahim, MD - Medicare Psychiatry & Neurology in Clinton, MO