Dr Olufunso Ibrahim, OD is a medicare enrolled "Optometrist" provider in Lanham, Maryland. Her current practice location is
10631 Greenbelt Rd # 301, Lanham, Maryland. You can reach out to her office (for appointments etc.) via phone at
(301) 979-9878.
Dr Olufunso Ibrahim is licensed to practice in Maryland (license number TA2606) 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 1821508334.
Healthcare Provider's Profile
Full Name | Dr Olufunso Ibrahim |
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Gender | Female |
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Speciality | Optometrist |
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Location | 10631 Greenbelt Rd # 301, Lanham, Maryland |
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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: 1821508334
- Provider Enumeration Date: 10/10/2017
- Last Update Date: 04/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 9739574377
- Enrollment ID: I20220318000691
Medical Identifiers
Medical identifiers for Dr Olufunso Ibrahim such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821508334 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | TA2606 (Maryland) | 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. Dr Olufunso Ibrahim allows following entities to bill medicare on her behalf.
Provider Name | Supreme Eye Care Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1255097002 PECOS PAC ID: 0547655292 Enrollment ID: O20220316003795 |
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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. Dr Olufunso 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 |
Dr Olufunso Ibrahim, OD 10631 Greenbelt Rd # 301, Lanham, MD 20706-2282 Ph: (301) 979-9878 | Dr Olufunso Ibrahim, OD 10631 Greenbelt Rd # 301, Lanham, MD 20706-2282 Ph: (301) 979-9878 |
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