Dr Lara Hayel Al-ejeilat, MD in Maple Grove, MN

Dr Lara Hayel Al-ejeilat, MD is a medicare enrolled "Pediatrics" physician in Maple Grove, Minnesota. Her current practice location is 14500 99th Ave N, Maple Grove, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 898-1000.

Dr Lara Hayel Al-ejeilat is licensed to practice in Minnesota (license number 56470) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1679889042.

Contact Information

	Dr Lara Hayel Al-ejeilat, MD
	14500 99th Ave N, Maple Grove, MN 55369-4730
	(763) 898-1000
	(763) 898-1009

Map and Direction

Physician's Profile

Full Name	Dr Lara Hayel Al-ejeilat
Gender	Female
Speciality	Pediatrics
Location	14500 99th Ave N, Maple Grove, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679889042
Provider Enumeration Date: 08/24/2010
Last Update Date: 12/05/2013

Medicare PECOS Information:

PECOS PAC ID: 8628210994
Enrollment ID: I20130815000764

Medical Identifiers

Medical identifiers for Dr Lara Hayel Al-ejeilat such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679889042	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	56470 (Minnesota)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Lara Hayel Al-ejeilat allows following entities to bill medicare on her behalf.

Entity Name	Fairview Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461

Entity Name	Fairview Clinics
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Lara Hayel Al-ejeilat is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Lara Hayel Al-ejeilat, MD 5103 Lincoln Dr, Edina, MN 55436-1009 Ph: (352) 871-1592	Dr Lara Hayel Al-ejeilat, MD 14500 99th Ave N, Maple Grove, MN 55369-4730 Ph: (763) 898-1000

Reviews and Comments

Pediatrics Doctors in Maple Grove, MN

Laura Woodbeck Moustafa, Pediatrics Medicare: Medicare Enrolled Practice Location: 12720 Bass Lake Rd, Maple Grove, MN 55369 Phone: 763-559-2861
Dr. Susan K. Mahle, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12720 Bass Lake Rd, Maple Grove, MN 55369 Phone: 763-559-2861 Fax: 763-559-1338
Pamela Jean Niksich, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12720 Bass Lake Rd, Maple Grove, MN 55369 Phone: 763-559-2861 Fax: 763-559-1338
Gretchen A Voge, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9875 Hospital Dr, Maple Grove, MN 55369 Phone: 888-455-2229
Aaron Wendell Swenson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9325 Upland Lane N, Suite 360, Maple Grove, MN 55369 Phone: 612-322-6903
Jeanne D Mrozek, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9325 Upland Lane N, Suite 360, Maple Grove, MN 55369 Phone: 612-813-6475
Dr. Rebecca A Doege, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 12720 Bass Lake Rd, Maple Grove, MN 55369 Phone: 414-266-2000

Dr Lara Hayel Al-ejeilat, MD - Medicare Pediatrics in Maple Grove, MN