Khalil M Nasrallah, MD | |
N10561 Grandview Ln, Ironwood, MI 49938-9622 | |
(906) 932-2290 | |
Not Available |
Full Name | Khalil M Nasrallah |
---|---|
Gender | Male |
Speciality | Neurology |
Experience | 23 Years |
Location | N10561 Grandview Ln, Ironwood, Michigan |
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 |
---|---|---|---|
1619923455 | NPI | - | NPPES |
130E26028 | Other | MI | BLUE CROSS BLUE SHIELD MI |
34726200 | Other | WI | WISCONSIN MEDICAID |
4877920 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 4301079672 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mclaren Bay Region | Bay city, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mclaren Medical Group | 3971416082 | 195 |
Mclaren Bay Region | 5597659011 | 106 |
Entity Name | Mclaren Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346396066 PECOS PAC ID: 3971416082 Enrollment ID: O20031106000025 |
Entity Name | Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235160532 PECOS PAC ID: 8527976497 Enrollment ID: O20040122000907 |
Entity Name | Mclaren Bay Region |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508131087 PECOS PAC ID: 5597659011 Enrollment ID: O20040213000277 |
Entity Name | Ascension St. Mary's Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285974014 PECOS PAC ID: 6305737156 Enrollment ID: O20130826000412 |
Mailing Address | Practice Location Address |
---|---|
Khalil M Nasrallah, MD 2837 Us 41 West, Marquette, MI 49855-0220 Ph: (906) 225-3964 | Khalil M Nasrallah, MD N10561 Grandview Ln, Ironwood, MI 49938-9622 Ph: (906) 932-2290 |
Dr. Jason F Bombard, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: N10561 Grandview Ln, Ironwood, MI 49938 Phone: 906-932-2525 |