| Dr Andrew John Stasko, MD | |
|
2101 Elm St N, Fargo, ND 58102-2417 | |
| (701) 239-3700 | |
| Not Available |
| Full Name | Dr Andrew John Stasko |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 2101 Elm St N, Fargo, North Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265516439 | NPI | - | NPPES |
| 14398 | Medicaid | ND | |
| 1052517 | Other | PREFERREDONE | |
| 30107 | Other | NC | ND BCBS |
| 511208700 | Medicaid | MD | |
| HP84016 | Other | HEALTHPARTNERS | |
| 248487100 | Medicaid | MN | |
| PENDING | Other | MN BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | D0057295 (Maryland) | Secondary |
| 208600000X | Surgery | 10708 (North Dakota) | Primary |
| Entity Name | Lake Region Healthcare Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093713372 PECOS PAC ID: 3971565334 Enrollment ID: O20060109000246 |
| Entity Name | Ccm Health |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1720086028 PECOS PAC ID: 4284539453 Enrollment ID: O20060504000810 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Andrew John Stasko, MD 332 2nd Ave N, Wahpeton, ND 58075-4528 Ph: (701) 642-7000 | Dr Andrew John Stasko, MD 2101 Elm St N, Fargo, ND 58102-2417 Ph: (701) 239-3700 |
Dre Steinwehr, Surgery Medicare: Accepting Medicare Assignments Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-417-2575 | |
Zachary Joseph Ernst, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8000 | |
Jerome I Thompson, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 737 Broadway N, Fargo, ND 58122 Phone: 701-234-4811 Fax: 701-234-6979 | |
Bhargav M Mistry, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-6715 Fax: 701-234-3868 | |
Roxanne V Newman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2254 Fax: 701-234-3769 | |
Steven E Briggs, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2251 Fax: 701-234-2050 | |
Johanna R Askegard, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-3467 |