Khalda Ibrahim, - Medicare Pathology in Los Angeles, CA

Khalda Ibrahim, is a medicare enrolled "Pathology - Clinical Informatics" physician in Los Angeles, California. Her current practice location is 10833 Le Conte Ave, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (310) 267-2680.

Khalda Ibrahim is licensed to practice in California (license number A168642) 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 1013329374.

Contact Information

Khalda Ibrahim,
10833 Le Conte Ave,
Los Angeles, CA 90095-7419
(310) 267-2680
Not Available



Physician's Profile

Full NameKhalda Ibrahim
GenderFemale
SpecialityPathology - Clinical Informatics
Location10833 Le Conte Ave, Los Angeles, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013329374
  • Provider Enumeration Date: 05/21/2014
  • Last Update Date: 08/05/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4688893811
  • Enrollment ID: I20220511002755

Medical Identifiers

Medical identifiers for Khalda Ibrahim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013329374NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZC0008XPathology - Clinical Informatics A168642 (California)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))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. Khalda Ibrahim allows following entities to bill medicare on her behalf.
Entity NameUcla Pathology And Laboratory Medicine Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497732630
PECOS PAC ID: 5597679233
Enrollment ID: O20031117000698

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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. Khalda 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 AddressPractice Location Address
Khalda Ibrahim,
5767 W Century Blvd Ste 400,
Los Angeles, CA 90045-5631

Ph: (310) 301-8732
Khalda Ibrahim,
10833 Le Conte Ave,
Los Angeles, CA 90095-7419

Ph: (310) 267-2680

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Pathology Doctors in Los Angeles, CA

Evan Yung, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 1450 San Pablo St Fl 2, Los Angeles, CA 90033
Phone: 323-442-2582    
Tiannan Wang, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 1500 San Pablo St Rm 216, Los Angeles, CA 90033
Phone: 323-442-2582    
Nancy Klipfel, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 1500 San Pablo St, Los Angeles, CA 90033
Phone: 323-442-2582    Fax: 323-442-2588
Lee Harold Hilborne, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 10833 Le Conte Ave, Ste B-186 Chs, Los Angeles, CA 90095
Phone: 310-794-8285    
Peter Tontonoz, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 10833 Le Conte Ave, Ste B-186 Chs, Los Angeles, CA 90095
Phone: 310-794-8285    
Jeffrey Fred Krane, MD PHD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 10833 Le Conte Ave # 13-145f, Los Angeles, CA 90095
Phone: 310-206-8199    Fax: 310-267-2058
Dr. Bahram Parsa, M.D., PH D.
Pathology
Medicare: Medicare Enrolled
Practice Location: 100 Ucla Medical Plz, Suite 245, Los Angeles, CA 90024
Phone: 310-208-0099    Fax: 310-208-0963

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