Ebtesam Islam, MD, PHD - Medicare Critical Care (intensivists) in Lubbock, TX

Ebtesam Islam, MD, PHD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Lubbock, Texas. She went to Texas Tech University Health Science Center School Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Critical Care (intensivists). She is a member of the group practice Texas Tech University Health Sciences Center Lubbock and her current practice location is 3601 4th St, Ms 9410, Lubbock, Texas. You can reach out to her office (for appointments etc.) via phone at (806) 743-3155.

Ebtesam Islam is licensed to practice in Texas (license number R0253) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1710208913.

Contact Information

Ebtesam Islam, MD, PHD
3601 4th St, Ms 9410,
Lubbock, TX 79430-9410
(806) 743-3155
(806) 743-3143



Physician's Profile

Full NameEbtesam Islam
GenderFemale
SpecialityCritical Care (intensivists)
Experience15 Years
Location3601 4th St, Lubbock, Texas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ebtesam Islam attended and graduated from Texas Tech University Health Science Center School Of Medicine in 2009
  NPI Data:
  • NPI Number: 1710208913
  • Provider Enumeration Date: 06/22/2010
  • Last Update Date: 11/10/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8325337082
  • Enrollment ID: I20161031000644

Medical Identifiers

Medical identifiers for Ebtesam Islam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710208913NPI-NPPES
363703501MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RP1001XInternal Medicine - Pulmonary Disease R0253 (Texas)Secondary
207RC0200XInternal Medicine - Critical Care Medicine R0253 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Medical CenterLubbock, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Texas Tech University Health Sciences Center Lubbock4385549674310

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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. Ebtesam Islam allows following entities to bill medicare on her behalf.
Entity NameTexas Tech University Health Sciences Center Lubbock
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063461358
PECOS PAC ID: 4385549674
Enrollment ID: O20110318000468

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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. Ebtesam Islam 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 AddressPractice Location Address
Ebtesam Islam, MD, PHD
3601 4th St, Ms 9410,
Lubbock, TX 79430-9410

Ph: (806) 743-3155
Ebtesam Islam, MD, PHD
3601 4th St, Ms 9410,
Lubbock, TX 79430-9410

Ph: (806) 743-3155

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Internal Medicine Doctors in Lubbock, TX

Mustafa Aly, MD
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3615 19th St, Lubbock, TX 79410
Phone: 806-725-4130    
Dr. Nuvneet N/a Khandelwal, MD, MBA
Critical Care Medicine
Medicare: Medicare Enrolled
Practice Location: 4816 7th St, Lubbock, TX 79416
Phone: 432-230-3005    
Janice Stachowiak, M.D.
Critical Care Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3601 4th St, Lubbock, TX 79430
Phone: 806-743-3150    Fax: 806-743-3168
M Alan Sharif, M.D.
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4802 N Loop 289, Lubbock, TX 79416
Phone: 806-788-0040    Fax: 806-788-0015
Dr. Vernon Farthing, MD
Critical Care Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3502 9th St, Ste. 210, Lubbock, TX 79415
Phone: 806-762-8461    
Ashref Mohamed, MD
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3415 19th St, Lubbock, TX 79410
Phone: 806-725-4130    
Sima Lina Shahbandar, MD
Critical Care Medicine
Medicare: Medicare Enrolled
Practice Location: 3601 4th St # Ms 9410, Lubbock, TX 79430
Phone: 806-743-6840    

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