| Brian Jefferson Dawson, MD | |
|
3345 39th St S Ste 2, Fargo, ND 58104 | |
| (509) 222-1275 | |
| (509) 491-3031 |
| Full Name | Brian Jefferson Dawson |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 25 Years |
| Location | 3345 39th St S Ste 2, Fargo, North Dakota |
| 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 |
|---|---|---|---|
| 1871540435 | NPI | - | NPPES |
| 3074DA | Other | WA | BSWA |
| 0202684 | Other | WA | LIWA |
| 8352197 | Medicaid | WA |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kadlec Regional Medical Center | Richland, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ideal Telemedicine Services Llc | 2860726221 | 58 |
| Northwest Emergency Physicians Llc | 3476462334 | 217 |
| Ideal Option Pllc | 6709013105 | 94 |
| Ideal Telemedicine Services Llc | 2860726221 | 58 |
| Ideal Option Pllc | 6709013105 | 94 |
| Ideal Telemedicine Services Llc | 2860726221 | 58 |
| Ideal Option Pllc | 6709013105 | 94 |
| Ideal Telemedicine Services Llc | 2860726221 | 58 |
| Ideal Telemedicine Services Llc | 2860726221 | 58 |
| Ideal Option Pllc | 6709013105 | 94 |
| Ideal Telemedicine Services Llc | 2860726221 | 58 |
| Ideal Option Pllc | 6709013105 | 94 |
| Ideal Telemedicine Services Llc | 2860726221 | 58 |
| Ideal Option Pllc | 6709013105 | 94 |
| Ideal Telemedicine Services Llc | 2860726221 | 58 |
| Ideal Option Pllc | 6709013105 | 94 |
| Entity Name | Northwest Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235172370 PECOS PAC ID: 3476462334 Enrollment ID: O20041214000892 |
| Entity Name | Ideal Option Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457788275 PECOS PAC ID: 6709013105 Enrollment ID: O20131210001184 |
| Entity Name | Ideal Telemedicine Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346754868 PECOS PAC ID: 2860726221 Enrollment ID: O20190716002000 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Jefferson Dawson, MD 500 Sw 7th St Ste A205, Renton, WA 98057-2983 Ph: (877) 522-1275 | Brian Jefferson Dawson, MD 3345 39th St S Ste 2, Fargo, ND 58104 Ph: (509) 222-1275 |
Dr. Michelle Renae Bradley, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4110 51st Ave S, Fargo, ND 58104 Phone: 701-364-3100 | |
Mary M. Nybakken, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-417-2575 Fax: 701-417-2535 | |
Naomi Schuldt, DNP, APRN, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 32nd Ave S, Fargo, ND 58103 Phone: 701-234-2000 | |
Randall A Kenninger, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 32nd Ave S, Fargo, ND 58103 Phone: 701-234-8830 Fax: 702-234-8950 | |
Megan Harrington, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000 | |
Andrea Leigh Nellermoe Kaster, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000 | |
Christine Hanish O'donnell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 32nd Ave S, Fargo, ND 58103 Phone: 701-234-8830 |