Ibrahim J Haddad, MD - Medicare Pediatrics in Boardman, OH

Ibrahim J Haddad, MD is a medicare enrolled "Pediatrics - Pediatric Gastroenterology" physician in Boardman, Ohio. His current practice location is 7641 Market St Ste 3, Boardman, Ohio. You can reach out to his office (for appointments etc.) via phone at (330) 729-9140.

Ibrahim J Haddad is licensed to practice in Ohio (license number 35-062494) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1366401960.

Contact Information

Ibrahim J Haddad, MD
7641 Market St Ste 3,
Boardman, OH 44512
(330) 729-9140
Not Available



Physician's Profile

Full NameIbrahim J Haddad
GenderMale
SpecialityPediatrics - Pediatric Gastroenterology
Location7641 Market St Ste 3, Boardman, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1366401960
  • Provider Enumeration Date: 03/22/2006
  • Last Update Date: 05/14/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 4082895636
  • Enrollment ID: I20110302000277

Medical Identifiers

Medical identifiers for Ibrahim J Haddad such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366401960NPI-NPPES
0860528MedicaidOH
01256834MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0206XPediatrics - Pediatric Gastroenterology MD045935L (Pennsylvania)Secondary
2080P0206XPediatrics - Pediatric Gastroenterology 35-062494 (Ohio)Primary
2080P0206XPediatrics - Pediatric Gastroenterology A44109 (California)Secondary
2080P0206XPediatrics - Pediatric Gastroenterology MD2014-0041 (New Mexico)Secondary
2080P0206XPediatrics - Pediatric Gastroenterology 35062494H (Ohio)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. Ibrahim J Haddad allows following entities to bill medicare on his behalf.
Entity NameTriad Health Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588925457
PECOS PAC ID: 9032367917
Enrollment ID: O20120918000787

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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. Ibrahim J Haddad 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
Ibrahim J Haddad, MD
Po Box 3349,
Boardman, OH 44513-3349

Ph: (330) 729-9140
Ibrahim J Haddad, MD
7641 Market St Ste 3,
Boardman, OH 44512

Ph: (330) 729-9140

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Pediatrics Doctors in Boardman, OH

Dr. Mary Joanna Mcintyre, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 6505 Market St, Boardman, OH 44512
Phone: 330-746-9200    Fax: 330-746-9211
Jacqueline Lee Lickliter, D.O.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 6505 Market St Ste 2100, Boardman, OH 44512
Phone: 330-746-8040    Fax: 330-746-8025
Deanna Marie Bellville, PPCNP-BC
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 6505 Market St Bldg A1, Boardman, OH 44512
Phone: 330-746-8040    Fax: 330-746-8025
Dr. Heather Danielle Strawbridge, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 8423 Market St Ste 300, Boardman, OH 44512
Phone: 330-543-8885    Fax: 330-543-8890
Hi Moon Ahn, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 6505 Market St, Boardman, OH 44512
Phone: 330-884-2425    
Dr. Stacy Lynn Generalovich, DO
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 6505 Market St Ste 2100, Boardman, OH 44512
Phone: 330-746-8040    Fax: 330-746-8025
Robert Peter Vandekappelle Jr., M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 6505 Market St Fl 2, Boardman, OH 44512
Phone: 330-629-6085    Fax: 330-629-7620

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