| Dr Abdurahman Said Elkhetali, | |
|
1400 E Boulder St Ste 700, Colorado Springs, CO 80909-5533 | |
| (719) 365-7300 | |
| (719) 365-7301 |
| Full Name | Dr Abdurahman Said Elkhetali |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 11 Years |
| Location | 1400 E Boulder St Ste 700, Colorado Springs, Colorado |
| 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 |
|---|---|---|---|
| 1023495413 | NPI | - | NPPES |
| 100099071 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 696 (Wisconsin) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | DR.0063537 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora Medical Center Kenosha | Kenosha, WI | Hospital |
| Aurora Medical Center - Grafton | Grafton, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Medical Group, Inc. | 6709794258 | 3491 |
| Entity Name | Aurora Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
| Entity Name | Gundersen Clinic Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851343115 PECOS PAC ID: 9638082779 Enrollment ID: O20031106000139 |
| Entity Name | Moundview Memorial Hospital & Clinics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710939533 PECOS PAC ID: 1355250432 Enrollment ID: O20031121000846 |
| Entity Name | Gundersen Lutheran Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225873458 PECOS PAC ID: 2163331414 Enrollment ID: O20130619000254 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Abdurahman Said Elkhetali, 101 Wildbrook Ln, Birmingham, AL 35216-6123 Ph: (323) 877-9126 | Dr Abdurahman Said Elkhetali, 1400 E Boulder St Ste 700, Colorado Springs, CO 80909-5533 Ph: (719) 365-7300 |
Justin Cheongsiatmoy, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 24 S Weber St Ste 200, Colorado Springs, CO 80903 Phone: 424-652-8506 | |
Kevin K. Snyder, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1115 Elkton Dr Ste 300, Colorado Springs, CO 80907 Phone: 719-373-9703 Fax: 719-631-7017 | |
Dr. Laura Jane Elder, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4215 Stonehaven Dr, Colorado Springs, CO 80906 Phone: 972-816-7870 | |
Dr. Michelle Louise Raphael, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4110 Briargate Pkwy Ste 140, Colorado Springs, CO 80920 Phone: 719-365-7300 Fax: 719-365-7301 | |
William Tyler Stone, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1715 N Weber St, Suite 120, Colorado Springs, CO 80907 Phone: 719-722-4929 Fax: 719-358-9860 | |
Roy Alan Kanter, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4110 Briargate Pkwy Ste 405, Colorado Springs, CO 80920 Phone: 719-365-7300 Fax: 719-365-7301 |