Khalid M Sonbol, MD | |
1406 6th Ave N, Saint Cloud, MN 56303-1901 | |
(612) 205-6900 | |
Not Available |
Full Name | Khalid M Sonbol |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 14 Years |
Location | 1406 6th Ave N, Saint Cloud, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750796629 | NPI | - | NPPES |
214881 | Other | IL | MEDICARE GROUP PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036141429 (Illinois) | Secondary |
208M00000X | Hospitalist | 036141429 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Cloud Hospital | Saint cloud, MN | Hospital |
Carris Health Llc | Willmar, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Centracare Clinic | 2466363395 | 632 |
Centracare Health System - Long Prairie | 3870524598 | 30 |
Centracare Clinic Southwest Llc | 8426457946 | 141 |
Entity Name | Centracare Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
Entity Name | Centracare Health System - Long Prairie |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164471678 PECOS PAC ID: 3870524598 Enrollment ID: O20050823000460 |
Entity Name | Centracare Health System - Long Prairie |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1164471678 PECOS PAC ID: 3870524598 Enrollment ID: O20061104000579 |
Entity Name | Carris Health - Redwood Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265914048 PECOS PAC ID: 7911259619 Enrollment ID: O20181129001082 |
Entity Name | Centracare Clinic Southwest Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174106264 PECOS PAC ID: 8426457946 Enrollment ID: O20210602002802 |
Mailing Address | Practice Location Address |
---|---|
Khalid M Sonbol, MD 1200 6th Ave N, Saint Cloud, MN 56303-2736 Ph: (320) 251-2700 | Khalid M Sonbol, MD 1406 6th Ave N, Saint Cloud, MN 56303-1901 Ph: (612) 205-6900 |
Dr. Travis Ryan Williams, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1200 6th Ave N, Saint Cloud, MN 56303 Phone: 320-251-2700 | |
Dr. Pavan Kumar Bhamidipati, MD Hospitalist Medicare: May Accept Medicare Assignments Practice Location: 1406 6th Ave N, Saint Cloud, MN 56303 Phone: 302-229-4907 Fax: 302-229-5160 | |
Kelly Marie Kerber, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1200 6th Ave N, Saint Cloud, MN 56303 Phone: 320-251-2700 | |
Mohamed Mohamoud Ahmed, Hospitalist Medicare: Medicare Enrolled Practice Location: 1406 6th Ave N, Saint Cloud, MN 56303 Phone: 612-229-5682 |