| Dr Carla Andrea Grossoli, MD | |
|
2701 13th Ave S, Fargo, ND 58103-3602 | |
| (701) 234-3620 | |
| Not Available |
| Full Name | Dr Carla Andrea Grossoli |
|---|---|
| Gender | Female |
| Speciality | Pediatric Medicine |
| Experience | 19 Years |
| Location | 2701 13th Ave S, Fargo, North Dakota |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568778991 | NPI | - | NPPES |
| 036132748 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 16721 (South Dakota) | Secondary |
| 208000000X | Pediatrics | 125058734 (Illinois) | Secondary |
| 208000000X | Pediatrics | 14139 (North Dakota) | Primary |
| Entity Name | Sanford Health Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013921733 PECOS PAC ID: 6800707100 Enrollment ID: O20031111000266 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Carla Andrea Grossoli, MD Po Box 5074, Sioux Falls, SD 57117-5074 Ph: (605) 328-6585 | Dr Carla Andrea Grossoli, MD 2701 13th Ave S, Fargo, ND 58103-3602 Ph: (701) 234-3620 |
Lidia D Krasniewska, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2701 13th Ave S, Fargo, ND 58103 Phone: 701-234-3620 Fax: 701-234-8831 | |
Muhammad Waqas, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8000 | |
Waldemar G Storm, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2261 Fax: 701-234-7194 | |
Brenda K Thurlow, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2431 Fax: 701-234-3740 | |
Dr. Samuel Odame Anim, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000 Fax: 701-234-2345 | |
Dr. Kristina K Rauser-foltz, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3000 32nd Avenue South, Fargo, ND 58103 Phone: 701-364-8000 Fax: 701-364-8078 | |
Rachel Katherine Heinze, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-417-2575 |