Mohamed Mohamoud Ahmed, | |
1406 6th Ave N, Saint Cloud, MN 56303-1900 | |
(612) 229-5682 | |
Not Available |
Full Name | Mohamed Mohamoud Ahmed |
---|---|
Gender | Male |
Speciality | Hospitalist |
Location | 1406 6th Ave N, Saint Cloud, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982288254 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 76722 (Minnesota) | Primary |
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 | Centracare Health System-nr Llc |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1275872772 PECOS PAC ID: 3870739410 Enrollment ID: O20130426000215 |
Entity Name | Centracare Health System-nr Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558600874 PECOS PAC ID: 3870739410 Enrollment ID: O20130515000683 |
Mailing Address | Practice Location Address |
---|---|
Mohamed Mohamoud Ahmed, 308 Queen Ave N, Minneapolis, MN 55405-1024 Ph: (612) 229-5682 | Mohamed Mohamoud Ahmed, 1406 6th Ave N, Saint Cloud, MN 56303-1900 Ph: (612) 229-5682 |
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 |