Ibrahima T Diallo, APN - Medicare Nurse Practitioner in Bloomfield, NJ

Ibrahima T Diallo, APN is a medicare enrolled "Nurse Practitioner - Family" in Bloomfield, New Jersey. His current practice location is 135 Bloomfield Ave Ste F, Bloomfield, New Jersey. You can reach out to his office (for appointments etc.) via phone at (862) 213-0033.

Ibrahima T Diallo is licensed to practice in New Jersey (license number 26NJ01390500) 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 1639651714.

Contact Information

Ibrahima T Diallo, APN
135 Bloomfield Ave Ste F,
Bloomfield, NJ 07003-5902
(862) 213-0033
Not Available



Provider's Profile

Full NameIbrahima T Diallo
GenderMale
SpecialityNurse Practitioner - Family
Location135 Bloomfield Ave Ste F, Bloomfield, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639651714
  • Provider Enumeration Date: 09/05/2018
  • Last Update Date: 08/14/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4880057280
  • Enrollment ID: I20230901001151

Medical Identifiers

Medical identifiers for Ibrahima T Diallo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639651714NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WS0200XRegistered Nurse - School 727968-1 (New York)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family 26NJ01390500 (New Jersey)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. Ibrahima T Diallo allows following entities to bill medicare on his behalf.
Entity NameSm Medical Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932562907
PECOS PAC ID: 6406145796
Enrollment ID: O20160510000034

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Entity NamePy Medical Services Of Nj Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942912381
PECOS PAC ID: 6901276922
Enrollment ID: O20230106002325

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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. Ibrahima T Diallo 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
Ibrahima T Diallo, APN
25 Duncan Ave Apt 503,
Jersey City, NJ 07304-4300

Ph: (201) 618-6623
Ibrahima T Diallo, APN
135 Bloomfield Ave Ste F,
Bloomfield, NJ 07003-5902

Ph: (862) 213-0033

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The U.S. Food and Drug Administration today approved Trulance (plecanatide) for the treatment of Chronic Idiopathic Constipation (CIC) in adult patients.

Read more News

› Verified 6 days ago


Nurse Practitioner Nurses in Bloomfield, NJ

Lisa Blomgren, ACNPC-AG
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 120 Lindbergh Blvd, Bloomfield, NJ 07003
Phone: 973-508-2697    
Monique Vindas, APN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 256 Broad St, Bloomfield, NJ 07003
Phone: 973-771-0090    
Suela Lita,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 300 Broadacres Dr, Bloomfield, NJ 07003
Phone: 862-314-7030    
Mr. Robert Anthony Lohse, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 256 Broad St, Bloomfield, NJ 07003
Phone: 973-743-4450    
Miss Sandra Rivera, APN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 194 Broad St, Bloomfield, NJ 07003
Phone: 973-748-5700    
Mrs. Nirmala Ratnam Baskar, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 194 Broad St, Bloomfield, NJ 07003
Phone: 973-748-5700    Fax: 973-748-5300
Savita Doobay,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 194 Broad St, Bloomfield, NJ 07003
Phone: 973-748-5700    

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