Fatima Mohamed Jibrel, MD - Medicare Obstetrics & Gynecology in Providence, RI

Fatima Mohamed Jibrel, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Providence, Rhode Island. Her current practice location is 101 Dudley St, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 274-1122.

Fatima Mohamed Jibrel is licensed to practice in Rhode Island (license number MD17541) 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 1386171973.

Contact Information

Fatima Mohamed Jibrel, MD
101 Dudley St,
Providence, RI 02905-2401
(401) 274-1122
(401) 459-0100



Physician's Profile

Full NameFatima Mohamed Jibrel
GenderFemale
SpecialityObstetrics & Gynecology
Location101 Dudley St, Providence, Rhode Island
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1386171973
  • Provider Enumeration Date: 05/15/2017
  • Last Update Date: 12/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2365711629
  • Enrollment ID: I20211210001786

Medical Identifiers

Medical identifiers for Fatima Mohamed Jibrel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386171973NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology MD17541 (Rhode Island)Primary
207V00000XObstetrics & Gynecology 4301111864 (Michigan)Secondary

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. Fatima Mohamed Jibrel allows following entities to bill medicare on her behalf.
Entity NameThe Providence Community Health Centers Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053313593
PECOS PAC ID: 9335050962
Enrollment ID: O20040608000007

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Entity NameAffinity Physicians Llc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184944662
PECOS PAC ID: 0244413391
Enrollment ID: O20110326000053

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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. Fatima Mohamed Jibrel 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
Fatima Mohamed Jibrel, MD
101 Dudley St,
Providence, RI 02905-2401

Ph: (401) 274-1122
Fatima Mohamed Jibrel, MD
101 Dudley St,
Providence, RI 02905-2401

Ph: (401) 274-1122

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Obstetrics & Gynecology Doctors in Providence, RI

Donald Ramos, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 695 Eddy St, Providence, RI 02903
Phone: 401-272-1550    Fax: 401-421-8792
Brittany S Hampton, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 101 Dudley St, Providence, RI 02905
Phone: 401-274-1100    
Dr. Jane R. Sharp, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 297 Promenade St, Providence, RI 02908
Phone: 401-490-6464    
Dr. Katharine D Wenstrom, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 101 Dudley Street, 3rd Floor, Women & Infants Hospital Of Rhode Island/mfm Division, Providence, RI 02905
Phone: 401-274-1122    Fax: 401-453-7622
Rebecca Crichton, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 101 Dudley St, Providence, RI 02905
Phone: 401-274-1122    
Heather A Smith, MD, MPH
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 101 Dudley St, Providence, RI 02905
Phone: 401-274-1122    
Meena Theva, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 101 Dudley St, Providence, RI 02905
Phone: 401-274-1122    

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