Samira Ibrahim, DO is a medicare enrolled "Hospitalist" physician in Downers Grove, Illinois. Her current practice location is
3815 Highland Ave, Downers Grove, Illinois. You can reach out to her office (for appointments etc.) via phone at
(630) 469-9200.
Samira Ibrahim is licensed to practice in Illinois (license number 036-171897) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1184259269.
Physician's Profile
Full Name | Samira Ibrahim |
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Gender | Female |
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Speciality | Hospitalist |
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Location | 3815 Highland Ave, Downers Grove, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1184259269
- Provider Enumeration Date: 03/09/2020
- Last Update Date: 10/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 7810397114
- Enrollment ID: I20241025003823
Medical Identifiers
Medical identifiers for Samira Ibrahim such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184259269 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208M00000X | Hospitalist | 036-171897 (Illinois) | 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. Samira Ibrahim allows following entities to bill medicare on her behalf.
Entity Name | Dupage Medical Group Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1801833983 PECOS PAC ID: 5496667941 Enrollment ID: O20031110000535 |
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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. Samira 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 |
Samira Ibrahim, DO Pob 7132960, Chicago, IL 60677-0001 Ph: (630) 469-9200 | Samira Ibrahim, DO 3815 Highland Ave, Downers Grove, IL 60515-1500 Ph: (630) 469-9200 |
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