| Dr Ibkhan Ansine, MD | |
|
301 Highway 65 S, Mora, MN 55051-1899 | |
| (320) 225-3335 | |
| (320) 225-3345 |
| Full Name | Dr Ibkhan Ansine |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 30 Years |
| Location | 301 Highway 65 S, Mora, 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 |
|---|---|---|---|
| 1194786467 | NPI | - | NPPES |
| 795723800 | Medicaid | MN | |
| 12D50AN | Other | MN | BC PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 41439 (Minnesota) | Secondary |
| 207P00000X | Emergency Medicine | 41439 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sanford Tracy Medical Center | Tracy, MN | Hospital |
| Sanford Canby Medical Center | Canby, MN | Hospital |
| Sanford Westbrook Medical Center | Westbrook, MN | Hospital |
| Avera Marshall Regional Medical Center | Marshall, MN | Hospital |
| Sanford Usd Medical Center | Sioux falls, SD | Hospital |
| Sanford Canby Medical Center | Canby, MN | Nursing home |
| Sanford Westbrook Medical Center | Westbrook, MN | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sanford Health Network | 6800707100 | 357 |
| Sanford Health Network | 6800707100 | 357 |
| Sanford Medical Center | 8325950215 | 847 |
| Sanford Health Network | 6800707100 | 357 |
| Sanford Medical Center | 8325950215 | 847 |
| Entity Name | Sanford Health Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790721280 PECOS PAC ID: 6800707100 Enrollment ID: O20031111000266 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ibkhan Ansine, MD 301 Highway 65 S, Mora, MN 55051-1899 Ph: (320) 225-3335 | Dr Ibkhan Ansine, MD 301 Highway 65 S, Mora, MN 55051-1899 Ph: (320) 225-3335 |
Denise Marie Larson, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 301 Highway 65 S, Firstlight Health System, Mora, MN 55051 Phone: 320-225-3432 |
Robert M. Weeks, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 301 Highway 65 S, Mora, MN 55051 Phone: 320-679-1313 Fax: 320-674-9060 |
Dr. Ryan Jon Gaalswyk, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 Highway 65 S, Mora, MN 55051 Phone: 320-679-1212 |