| Mr Ali Hasan Ebrahim, MD | |
|
901 Sw Drake Dr, Lees Summit, MO 64082-4800 | |
| (313) 949-5894 | |
| Not Available |
| Full Name | Mr Ali Hasan Ebrahim |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 22 Years |
| Location | 901 Sw Drake Dr, Lees Summit, Missouri |
| 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 |
|---|---|---|---|
| 1003344656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 2022003405 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Golden Valley Memorial Hospital | Clinton, MO | Hospital |
| Western Missouri Medical Center | Warrensburg, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Golden Valley Memorial Hospital District | 4688561814 | 123 |
| Entity Name | Golden Valley Memorial Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003873266 PECOS PAC ID: 4688561814 Enrollment ID: O20040407001299 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ali Hasan Ebrahim, MD 1602 N 2nd St, Clinton, MO 64735-1192 Ph: (660) 885-5511 | Mr Ali Hasan Ebrahim, MD 901 Sw Drake Dr, Lees Summit, MO 64082-4800 Ph: (313) 949-5894 |
Dr. Gary H Boxer, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 300 Se 2nd St Ste 100, Lees Summit, MO 64063 Phone: 816-404-6170 | |
Dr. David Edward Sternberg, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 527 Sw Market St, Lees Summit, MO 64063 Phone: 913-209-9495 Fax: 913-498-0523 | |
Dr. Karen Jean Haas, D.O. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2000 Se Blue Pkwy, # 270-a, Lees Summit, MO 64063 Phone: 816-524-1700 Fax: 816-524-1794 | |
Dr. Nicole Renee Graham, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 901 Ne Independence Ave, Lees Summit, MO 64086 Phone: 816-347-3223 | |
Dr. Michael E Williams, M.D. Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 4045 Ne Lakewood Way Ste 130, Lees Summit, MO 64064 Phone: 816-886-2184 Fax: 816-886-2397 | |
Dr. John M Wubbenhorst Jr., DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 901 Ne Independence Ave, Lees Summit, MO 64086 Phone: 816-246-8000 Fax: 816-246-8207 |