| Nabeel Bishara Ailabouni, DO | |
|
16830 198th Ave Nw, Big Lake Clinic, Big Lake, MN 55309 | |
| (763) 263-7300 | |
| (763) 263-7334 |
| Full Name | Nabeel Bishara Ailabouni |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 18 Years |
| Location | 16830 198th Ave Nw, Big Lake, 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 |
|---|---|---|---|
| 1043479876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 105377 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Centracare Health Home Care | Saint cloud, MN | Home health agency |
| Centracare Health - Monticello | Monticello, MN | Hospital |
| St Cloud Hospital | Saint cloud, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Centracare Clinic | 2466363395 | 701 |
| Entity Name | Centracare Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
| Entity Name | St Cloud Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043269798 PECOS PAC ID: 4880594779 Enrollment ID: O20110221000134 |
| Entity Name | Centracare Health System-nr Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558600874 PECOS PAC ID: 3870739410 Enrollment ID: O20130515000683 |
| Mailing Address | Practice Location Address |
|---|---|
| Nabeel Bishara Ailabouni, DO 16830 198th Ave Nw, Big Lake Clinic, Big Lake, MN 55309 Ph: (763) 263-7300 | Nabeel Bishara Ailabouni, DO 16830 198th Ave Nw, Big Lake Clinic, Big Lake, MN 55309 Ph: (763) 263-7300 |
Lola B Sutherland, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 16830 198th Ave Nw, Big Lake Clinic, Big Lake, MN 55309 Phone: 763-263-7300 |