Nabeel Bishara Ailabouni, DO | |
16830 198th Ave Nw, Big Lake Clinic, Big Lake, MN 55309 | |
(763) 263-7300 | |
(763) 263-7334 |
Full Name | Nabeel Bishara Ailabouni |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 16 Years |
Location | 16830 198th Ave Nw, Big Lake, 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 |
---|---|---|---|
1043479876 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 105377 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Centracare Health Home Care | Saint cloud, MN | Home health agency |
Centracare Health - Monticello | Monticello, MN | Hospital |
St Cloud Hospital | Saint cloud, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Centracare Clinic | 2466363395 | 632 |
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 | St Cloud Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043269798 PECOS PAC ID: 4880594779 Enrollment ID: O20110221000134 |
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 |
---|---|
Nabeel Bishara Ailabouni, DO 16830 198th Ave Nw, Big Lake Clinic, Big Lake, MN 55309 Ph: (763) 263-7300 | Nabeel Bishara Ailabouni, DO 16830 198th Ave Nw, Big Lake Clinic, Big Lake, MN 55309 Ph: (763) 263-7300 |
Lola B Sutherland, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 16830 198th Ave Nw, Big Lake Clinic, Big Lake, MN 55309 Phone: 763-263-7300 |