| Dr Brent Richard Williams, MD | |
|
801 Broadway N, Fargo, ND 58102-3641 | |
| (701) 234-2301 | |
| Not Available |
| Full Name | Dr Brent Richard Williams |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 22 Years |
| Location | 801 Broadway N, 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 |
|---|---|---|---|
| 1710125893 | NPI | - | NPPES |
| 10698 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 57.007614 (Ohio) | Secondary |
| 208800000X | Urology | 11253 (North Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jamestown Regional Medical Center | Jamestown, ND | Hospital |
| Sanford Medical Center Fargo | Fargo, ND | Hospital |
| Essentia Health | Fargo, ND | Hospital |
| Carrington Health Center | Carrington, ND | Hospital |
| St Aloisius Medical Center | Harvey, ND | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lutheran Charity Association | 2264341031 | 107 |
| Innovis Health Llc | 9931298155 | 509 |
| Entity Name | Lutheran Charity Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821044652 PECOS PAC ID: 2264341031 Enrollment ID: O20040128000565 |
| Entity Name | Innovis Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215125463 PECOS PAC ID: 9931298155 Enrollment ID: O20071211000158 |
| Entity Name | Lutheran Charity Association |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1548256753 PECOS PAC ID: 2264341031 Enrollment ID: O20080616000530 |
| Entity Name | Sanford Medical Center Fargo |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brent Richard Williams, MD 2422 20th St Sw, Jamestown, ND 58401 Ph: (330) 671-7783 | Dr Brent Richard Williams, MD 801 Broadway N, Fargo, ND 58102-3641 Ph: (701) 234-2301 |
Conrad R Toni, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2301 Fax: 701-234-2130 | |
Roberta Stigen, NURSE PRACTITIONER Urology Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000 | |
Dr. Ali Mohamed Mahmoud, Urology Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000 | |
Ann Flinn, Urology Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2301 | |
Eric Andrew Schommer, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000 | |
Philip M. Wanzek, DO Urology Medicare: Accepting Medicare Assignments Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8000 | |
Dr. Kristina L Garrels, M.D. Urology Medicare: Medicare Enrolled Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2301 |