Deanah A Jibril, DO in Riverside, CA - Medicare Obstetrics & Gynecology

Deanah A Jibril, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Riverside, California. Her current practice location is 19330 Jesse Ln Ste 100, Riverside, California. You can reach out to her office (for appointments etc.) via phone at (951) 847-8000.

Deanah A Jibril is licensed to practice in Texas (license number J9718) 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 1134183114.

Contact Information

	Deanah A Jibril, DO
	19330 Jesse Ln Ste 100, Riverside, CA 92508-5077
	(951) 847-8000
	Not Available

Physician's Profile

Full Name	Deanah A Jibril
Gender	Female
Speciality	Obstetrics & Gynecology
Location	19330 Jesse Ln Ste 100, Riverside, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134183114
Provider Enumeration Date: 04/14/2006
Last Update Date: 02/22/2020

Medicare PECOS Information:

PECOS PAC ID: 3173660784
Enrollment ID: I20091029000502

Medical Identifiers

Medical identifiers for Deanah A Jibril such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134183114	NPI	-	NPPES
0060DF	Other	TX	BLUE CROSS
2362989	Other	TX	AETNA
030902301	Medicaid	TX
2544257	Other		CIGNA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	20A17489 (California)	Secondary
207V00000X	Obstetrics & Gynecology	J9718 (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. Deanah A Jibril allows following entities to bill medicare on her behalf.

Entity Name	Pediatrix Medical Group Of Texas Billing Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649377359 PECOS PAC ID: 0042283921 Enrollment ID: O20110907001264

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Entity Name	Obhg Texas Holdings Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083917769 PECOS PAC ID: 3577713072 Enrollment ID: O20121018000279

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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. Deanah A Jibril 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
Deanah A Jibril, DO 3212 Saint Georges Dr, Plano, TX 75093-4719 Ph: (972) 867-4880	Deanah A Jibril, DO 19330 Jesse Ln Ste 100, Riverside, CA 92508-5077 Ph: (951) 847-8000

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Obstetrics & Gynecology Doctors in Riverside, CA

Edward Anthony Matuga, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 6405 Day St, Riverside, CA 92507 Phone: 951-697-5500 Fax: 951-697-5508
Dr. Walter M Marcus, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 8945 Magnolia Ave, #202, Riverside, CA 92503 Phone: 951-687-8945 Fax: 951-687-1042
Dr. Diane Connelly, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 10800 Magnolia Ave, Rmc-3, Rm. 3207, Riverside, CA 92505 Phone: 951-353-4912 Fax: 951-353-5838
Richard Timothy Chen, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 10800 Magnolia Ave, Department Of Ob-gyn, Riverside, CA 92505 Phone: 503-757-1195
Dr. Nayeema Ahmed, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3975 Jackson St, Ste. #110, Riverside, CA 92503 Phone: 951-351-1071 Fax: 951-351-1207
Bilal Rafic Kaaki, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 6926 Brockton Ave Ste 4, Riverside, CA 92506 Phone: 844-400-2236 Fax: 951-382-4111
Sudha Moola, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3975 Jackson St, Suite #208, Riverside, CA 92503 Phone: 951-732-7834 Fax: 951-352-7758

Deanah A Jibril, DO - Medicare Obstetrics & Gynecology in Riverside, CA

Contact Information

Physician's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Medicare Reassignments

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Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

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Obstetrics & Gynecology Doctors in Riverside, CA