Susan B Ibrahim, CRFNP in Cordova, TN - Medicare Nurse Practitioner

Susan B Ibrahim, CRFNP is a medicare enrolled "Nurse Practitioner - Family" in Cordova, Tennessee. Her current practice location is 1204 N Houston Levee Rd Ste 114, Cordova, Tennessee. You can reach out to her office (for appointments etc.) via phone at (901) 421-5000.

Susan B Ibrahim is licensed to practice in Tennessee (license number APN0000012438) 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 1568511491.

Contact Information

	Susan B Ibrahim, CRFNP
	1204 N Houston Levee Rd Ste 114, Cordova, TN 38018-6687
	(901) 421-5000
	Not Available

Map and Direction

Provider's Profile

Full Name	Susan B Ibrahim
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1204 N Houston Levee Rd Ste 114, Cordova, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568511491
Provider Enumeration Date: 01/09/2007
Last Update Date: 07/25/2023

Medicare PECOS Information:

PECOS PAC ID: 7618345315
Enrollment ID: I20221130003636

Medical Identifiers

Medical identifiers for Susan B Ibrahim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568511491	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APN0000012438 (Tennessee)	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. Susan B Ibrahim allows following entities to bill medicare on her behalf.

Entity Name	Consolidated Medical Practices Of Memphis,pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508027491 PECOS PAC ID: 1759459845 Enrollment ID: O20081002000198

Entity Name	Mid-south Urgent Care Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780017228 PECOS PAC ID: 4587891981 Enrollment ID: O20131210001338

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. Susan B 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
Susan B Ibrahim, CRFNP 2484 Wishanger Cv, Germantown, TN 38139-6618 Ph: (901) 857-4228	Susan B Ibrahim, CRFNP 1204 N Houston Levee Rd Ste 114, Cordova, TN 38018-6687 Ph: (901) 421-5000

Reviews and Comments

Nurse Practitioner Nurses in Cordova, TN

Chandler Roberts Cummins, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 57 Germantown Ct Ste 100, Cordova, TN 38018 Phone: 901-763-0200
Paula M Martin, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1590 Bonnie Ln Ste 101, Cordova, TN 38016 Phone: 901-257-9060
Renee Wilson, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8000 Centerview Pkwy, Cordova, TN 38018 Phone: 888-852-1988
Ellen Lehman Mumaw, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1660 Bonnie Ln, Suite 105, Cordova, TN 38016 Phone: 901-888-1000
Mr. Corey Konemann, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 765 Woodland Trace Ln, Cordova, TN 38018 Phone: 888-851-2538
Dr. Camillia Haddix, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 65 Germantown Ct Ste 402, Cordova, TN 38018 Phone: 901-752-4900 Fax: 901-752-4902
Sheneara Guide-wade, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 676 N Germantown Pkwy, Cordova, TN 38018 Phone: 901-969-1405

Susan B Ibrahim, CRFNP - Medicare Nurse Practitioner in Cordova, TN