Nidal Jibawi, DO - Medicare Hospitalist in Crown Point, IN

Nidal Jibawi, DO is a medicare enrolled "Hospitalist" physician in Crown Point, Indiana. His current practice location is 12750 St Francis Dr, Crown Point, Indiana. You can reach out to his office (for appointments etc.) via phone at (219) 757-6121.

Nidal Jibawi is licensed to practice in Indiana (license number 02006966A) 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 1285138297.

Contact Information

Nidal Jibawi, DO
12750 St Francis Dr,
Crown Point, IN 46307-0264
(219) 757-6121
(219) 681-6897



Physician's Profile

Full NameNidal Jibawi
GenderMale
SpecialityHospitalist
Location12750 St Francis Dr, Crown Point, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1285138297
  • Provider Enumeration Date: 03/23/2018
  • Last Update Date: 01/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8123376548
  • Enrollment ID: I20221227001938

Medical Identifiers

Medical identifiers for Nidal Jibawi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285138297NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 02006966A (Indiana)Secondary
207R00000XInternal Medicine 036.161980 (Illinois)Secondary
208M00000XHospitalist 02006966A (Indiana)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. Nidal Jibawi allows following entities to bill medicare on his behalf.
Entity NameChest Physician Consultants, Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760576359
PECOS PAC ID: 9931173937
Enrollment ID: O20040825000279

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Entity NameFranciscan Physician Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225327984
PECOS PAC ID: 3072790682
Enrollment ID: O20110608000486

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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. Nidal Jibawi 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
Nidal Jibawi, DO
Po Box 781076,
Detroit, MI 48278-1076

Ph: (317) 528-4800
Nidal Jibawi, DO
12750 St Francis Dr,
Crown Point, IN 46307-0264

Ph: (219) 757-6121

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Hospitalist Doctors in Crown Point, IN

Nicole M Cataldi, D.O.
Hospitalist
Medicare: Medicare Enrolled
Practice Location: 800 W Burrell Dr, Crown Point, IN 46307
Phone: 219-663-9913    Fax: 219-663-9923
Dr. Yu Liu, M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 12750 St Francis Dr, Crown Point, IN 46307
Phone: 219-757-6121    Fax: 219-681-6897
Usman Syed Ather, MD
Hospitalist
Medicare: Medicare Enrolled
Practice Location: 12750 St Francis Dr, Crown Point, IN 46307
Phone: 219-757-6121    Fax: 219-681-6897
Kenneth Polezoes, M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 7310 W Lincoln Hwy, Crown Point, IN 46307
Phone: 219-322-4637    Fax: 219-322-5298
Rayon Golding, D.O.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 12750 St Francis Dr, Crown Point, IN 46307
Phone: 219-757-6121    Fax: 219-681-6897
Zhipeng Zhang, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 12750 St Francis Dr, Crown Point, IN 46307
Phone: 219-757-6121    Fax: 219-681-6897
Jennifer Lynn Kelly, D.O.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 1201 S Main St, Crown Point, IN 46307
Phone: 219-738-2100    Fax: 219-933-2288

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