| Idriss Hassan Ibrahim, CNP | |
|
1113 E Franklin Ave Ste 106, Minneapolis, MN 55404-2978 | |
| (507) 530-6028 | |
| Not Available |
| Full Name | Idriss Hassan Ibrahim |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 1113 E Franklin Ave Ste 106, Minneapolis, 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 |
|---|---|---|---|
| 1336525666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 6251 (Minnesota) | Primary |
| Entity Name | Mecca Medical Center, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336790864 PECOS PAC ID: 7911337886 Enrollment ID: O20200416000469 |
| Mailing Address | Practice Location Address |
|---|---|
| Idriss Hassan Ibrahim, CNP 1113 E Franklin Ave Ste 106, Minneapolis, MN 55404-2978 Ph: (507) 530-6028 | Idriss Hassan Ibrahim, CNP 1113 E Franklin Ave Ste 106, Minneapolis, MN 55404-2978 Ph: (507) 530-6028 |
Shiao-lin D Hui, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 920 2nd Ave S, Suite 400, Minneapolis, MN 55402 Phone: 612-659-7111 Fax: 612-659-7101 |
Deborah Elkins, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 920 2nd Ave S, Suite 400, Minneapolis, MN 55402 Phone: 612-225-1534 |
Anne Hawkins, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2530 Chicago Ave, Csc 390, Minneapolis, MN 55404 Phone: 612-813-6102 |
Tiffanie J Woods, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2530 Chicago Ave, Minneapolis, MN 55404 Phone: 612-874-1292 |
Mrs. Mary Susan Clipp, CPNP-AC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2450 Riverside Ave, Minneapolis, MN 55454 Phone: 612-365-3100 Fax: 612-365-3110 |
Kate Chies, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 E 28th St Ste H2100, Minneapolis, MN 55407 Phone: 612-863-3900 Fax: 612-775-3199 |
Derek Przybylski, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2525 Chicago Ave, Minneapolis, MN 55404 Phone: 715-207-9330 |