Khadijah Oluwatoyin Ibrahim, PMHNP-BC in Dallas, TX

Khadijah Oluwatoyin Ibrahim, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Dallas, Texas. Her current practice location is 12221 Merit Dr Ste 450, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at (972) 770-1032.

Khadijah Oluwatoyin Ibrahim is licensed to practice in Texas (license number 1116351) 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 1134805666.

Contact Information

	Khadijah Oluwatoyin Ibrahim, PMHNP-BC
	12221 Merit Dr Ste 450, Dallas, TX 75251-2294
	(972) 770-1032
	Not Available

Map and Direction

Provider's Profile

Full Name	Khadijah Oluwatoyin Ibrahim
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	12221 Merit Dr Ste 450, Dallas, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134805666
Provider Enumeration Date: 06/27/2023
Last Update Date: 06/27/2023

Medicare PECOS Information:

PECOS PAC ID: 5294197489
Enrollment ID: I20230821001786

Medical Identifiers

Medical identifiers for Khadijah Oluwatoyin Ibrahim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134805666	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	1116351 (Texas)	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. Khadijah Oluwatoyin Ibrahim allows following entities to bill medicare on her behalf.

Entity Name	Emergency Psychiatric Medicine Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558538520 PECOS PAC ID: 2860560059 Enrollment ID: O20080930000824

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. Khadijah Oluwatoyin 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
Khadijah Oluwatoyin Ibrahim, PMHNP-BC 113 Turks Cap Trl, Wylie, TX 75098-4626 Ph: (713) 882-7674	Khadijah Oluwatoyin Ibrahim, PMHNP-BC 12221 Merit Dr Ste 450, Dallas, TX 75251-2294 Ph: (972) 770-1032

Reviews and Comments

Nurse Practitioner Nurses in Dallas, TX

Mrs. Darleen Dansby, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1513 Viceroy Dr, Dallas, TX 75235 Phone: 469-685-7020 Fax: 214-920-7020
Ms. Kimberley Shenee Player, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8604 Greenville Ave Ste 103a, Dallas, TX 75243 Phone: 214-702-5855
Teresa Anna Jones, CPNP-AC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1935 Medical District Dr, Dallas, TX 75235 Phone: 973-801-0173
Christina Hagood, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6301 Gaston Ave, Suite 100, West Tower, Dallas, TX 75214 Phone: 214-827-3610 Fax: 214-821-4017
Susan C. Chesire, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3600 Gaston Ave, Wadley Tower, Suite 651, Dallas, TX 75246 Phone: 214-820-9115 Fax: 214-820-9135
Mrs. Larah Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3209 W Camp Wisdom Rd, Dallas, TX 75237 Phone: 469-966-9660 Fax: 877-667-6112
Michele Willet Rylander, RN, MSN, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1935 Medical District Dr, Dallas, TX 75235 Phone: 214-456-7000

Khadijah Oluwatoyin Ibrahim, PMHNP-BC - Medicare Nurse Practitioner in Dallas, TX