Mrs Iman Ibrahim, PT is a medicare enrolled "Physical Therapy Assistant" provider in Floral Park, New York. Her current practice location is
70 Bellmore St, Floral Park, New York. You can reach out to her office (for appointments etc.) via phone at
(347) 309-8605.
Mrs Iman Ibrahim is licensed to practice in New York (license number 009662) 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 1477142578.
Healthcare Provider's Profile
Full Name | Mrs Iman Ibrahim |
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Gender | Female |
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Speciality | Physical Therapy Assistant |
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Location | 70 Bellmore St, Floral Park, New York |
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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: 1477142578
- Provider Enumeration Date: 01/13/2021
- Last Update Date: 04/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 1557738002
- Enrollment ID: I20221114000404
Medical Identifiers
Medical identifiers for Mrs Iman Ibrahim such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477142578 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 048574 (New York) | Secondary |
225200000X | Physical Therapy Assistant | 009662 (New York) | 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. Mrs Iman Ibrahim allows following entities to bill medicare on her behalf.
Provider Name | Gramercy Park Physical Therapy Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1003150640 PECOS PAC ID: 2668783283 Enrollment ID: O20150623001053 |
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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. Mrs Iman 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 |
Mrs Iman Ibrahim, PT 70 Bellmore St, Floral Park, NY 11001-3111 Ph: (347) 309-8605 | Mrs Iman Ibrahim, PT 70 Bellmore St, Floral Park, NY 11001-3111 Ph: (347) 309-8605 |
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