| Souad N Brobby, PA | |
|
6350 W 143rd St Ste 200, Savage, MN 55378-2890 | |
| (952) 428-1010 | |
| Not Available |
| Full Name | Souad N Brobby |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 21 Years |
| Location | 6350 W 143rd St Ste 200, Savage, 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 |
|---|---|---|---|
| 1508800285 | NPI | - | NPPES |
| 8X6086 | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA04869 (Texas) | Secondary |
| 363A00000X | Physician Assistant | 11041 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Accentcare Fairview Home Health - West, Llc | Saint paul, MN | Home health agency |
| Adara Home Health Inc | Buffalo, MN | Home health agency |
| Interim Healthcare Of The Twin Cities | Roseville, MN | Home health agency |
| Park Nicollet Methodist Hospital | Saint louis park, MN | Hospice |
| Minnesota Hospice Llc | Lakeville, MN | Hospice |
| Brighton Hospice | Saint louis park, MN | Hospice |
| Park Nicollet Methodist Hospital | Saint louis park, MN | Hospital |
| Fairview Hospital University | Minneapolis, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Twin Cities Physicians Professional Corporation | 9830499763 | 66 |
| Allina Health System | 4587573613 | 3844 |
| Entity Name | Group Health Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
| Entity Name | Fairview Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811077175 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
| Entity Name | Glencoe Regional Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508885633 PECOS PAC ID: 1759292980 Enrollment ID: O20031119000252 |
| Entity Name | Glencoe Regional Health Services |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1508885633 PECOS PAC ID: 1759292980 Enrollment ID: O20060504000699 |
| Entity Name | Twin Cities Physicians Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992176499 PECOS PAC ID: 9830499763 Enrollment ID: O20151130000202 |
| Entity Name | Aeris Medical Group PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184228520 PECOS PAC ID: 0042624306 Enrollment ID: O20210127001911 |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713 |
| Mailing Address | Practice Location Address |
|---|---|
| Souad N Brobby, PA 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-9000 | Souad N Brobby, PA 6350 W 143rd St Ste 200, Savage, MN 55378-2890 Ph: (952) 428-1010 |
Anna Marie Mukaria, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6150 Egan Dr, Savage, MN 55378 Phone: 952-428-3370 |
Hanah Sill Tetrault, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6350 W 143rd St Ste 102, Savage, MN 55378 Phone: 952-428-1000 |
Sarah Porterfield, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6350 W 143rd St Ste 102, Savage, MN 55378 Phone: 952-428-1000 Fax: 952-428-0499 |
Stacy Marie Anderson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6350 W 143rd St Ste 102, Savage, MN 55378 Phone: 952-428-0200 |
Terry J Larimer, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6350 W 143rd St Ste 102, Savage, MN 55378 Phone: 952-428-1000 Fax: 952-428-0499 |
Mallory Lynn Obrien, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13389 Elaine Ct, Savage, MN 55378 Phone: 612-360-7054 |
Kenneth Newton O'neil, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 13944 Edgewood Ave Unit 113, Savage, MN 55378 Phone: 612-594-4994 |