| Mysoon Ayuob, | |
|
300 State Ave, Faribault, MN 55021-6319 | |
| (150) 733-3330 | |
| Not Available |
| Full Name | Mysoon Ayuob |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 23 Years |
| Location | 300 State Ave, Faribault, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003251885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 108617 (Minnesota) | Secondary |
| 207Q00000X | Family Medicine | 4301104105 (New York) | Secondary |
| 207Q00000X | Family Medicine | 60020 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mayo Clinic Health System - Mankato | Mankato, MN | Hospital |
| Mayo Clinic Health System - Albert Lea And Austin | Albert lea, MN | Hospital |
| Owatonna Hospital | Owatonna, MN | Hospital |
| Mayo Clinic Health System - Cannon Falls | Cannon falls, MN | Hospital |
| District One Hospital | Faribault, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mayo Clinic Health System-southeast Minnesota Region | 4385556703 | 522 |
| Entity Name | Mayo Clinic Health System-southeast Minnesota Region |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891701637 PECOS PAC ID: 4385556703 Enrollment ID: O20031104000408 |
| Mailing Address | Practice Location Address |
|---|---|
| Mysoon Ayuob, 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 Ph: (952) 883-1000 | Mysoon Ayuob, 300 State Ave, Faribault, MN 55021-6319 Ph: (150) 733-3330 |
Sigrid Anne Nelson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 State Ave, Faribault, MN 55021 Phone: 507-334-3921 Fax: 507-332-6668 | |
Brenda Joyce Hurtt, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 924 1st St Ne, Faribault, MN 55021 Phone: 507-333-3300 Fax: 507-333-3214 | |
Ray W Wood, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 State Ave, Faribault, MN 55021 Phone: 507-334-3921 Fax: 507-332-6668 | |
Julie A Donahue, NP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 State Ave, Faribault, MN 55021 Phone: 507-334-3921 | |
George M Wagner, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 State Ave, Faribault, MN 55021 Phone: 507-334-3921 Fax: 507-332-5299 | |
Mary Jane Tetzloff, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 State Ave, Faribault, MN 55021 Phone: 507-334-3921 Fax: 507-332-5298 |