Doreen Lubi Isubikalu, | |
2330 Sioux Trail Nw, Prior Lake, MN 55372 | |
(952) 496-6150 | |
Not Available |
Full Name | Doreen Lubi Isubikalu |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 2330 Sioux Trail Nw, Prior Lake, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366961542 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 5160 (Minnesota) | Primary |
Entity Name | Healthfair Plus Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376973461 PECOS PAC ID: 2365668720 Enrollment ID: O20220821000028 |
Mailing Address | Practice Location Address |
---|---|
Doreen Lubi Isubikalu, 8033 Jocelyn Ave S, Cottage Grove, MN 55016 Ph: (651) 707-6130 | Doreen Lubi Isubikalu, 2330 Sioux Trail Nw, Prior Lake, MN 55372 Ph: (952) 496-6150 |
Karen Marie Weiler, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4151 Willowwood St Se, Prior Lake, MN 55372 Phone: 952-226-2600 | |
Dr. Scott Edward Wavinak, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4151 Willowwood St Se, Prior Lake, MN 55372 Phone: 952-226-2600 | |
Troy A Scott, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 4151 Willowwood St Se, Prior Lake, MN 55372 Phone: 952-226-2600 | |
Jessica A Vanderscoff, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4151 Willowwood St Se, Prior Lake, MN 55372 Phone: 952-226-2600 | |
Daniel Trajano, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4670 Park Nicollet Ave Se, Prior Lake, MN 55372 Phone: 952-993-7750 | |
Dr. Samuel Asante-buabeng, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4670 Park Nicollet Ave Se, Prior Lake, MN 55372 Phone: 952-993-7750 Fax: 952-993-8820 |