Waleed Ibrahim, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Annandale, Virginia. His current practice location is
4723 Commons Dr, Apt 304, Annandale, Virginia. You can reach out to his office (for appointments etc.) via phone at
(760) 444-3076.
Waleed Ibrahim is licensed to practice in Michigan (license number 4301072946) 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 1154673713.
Physician's Profile
Full Name | Waleed Ibrahim |
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Gender | Male |
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Speciality | Radiology - Diagnostic Radiology |
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Location | 4723 Commons Dr, Annandale, Virginia |
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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: 1154673713
- Provider Enumeration Date: 10/08/2012
- Last Update Date: 11/22/2013
Medicare PECOS Information:
- PECOS PAC ID: 4082687462
- Enrollment ID: I20040830000203
Medical Identifiers
Medical identifiers for Waleed Ibrahim such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154673713 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | 4301072946 (Michigan) | Primary |
2085R0202X | Radiology - Diagnostic Radiology | 200300815 (North Carolina) | Secondary |
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. Waleed Ibrahim allows following entities to bill medicare on his behalf.
Entity Name | Scotland Memorial Hospital, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1477791507 PECOS PAC ID: 0648208504 Enrollment ID: O20031105000382 |
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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. Waleed 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 |
Waleed Ibrahim, MD 4723 Commons Dr, Apt 304, Annandale, VA 22003-5066 Ph: (760) 444-3076 | Waleed Ibrahim, MD 4723 Commons Dr, Apt 304, Annandale, VA 22003-5066 Ph: (760) 444-3076 |
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