| Dr Castrenze Roby Fricano, MD | |
|
712 S Cascade St, Fergus Falls, MN 56537-2913 | |
| (218) 736-8000 | |
| (218) 736-8775 |
| Full Name | Dr Castrenze Roby Fricano |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 712 S Cascade St, Fergus Falls, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063975993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 61283422 (Washington) | Secondary |
| 207P00000X | Emergency Medicine | 73509 (Minnesota) | Primary |
| Entity Name | Community Memorial Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003869082 PECOS PAC ID: 0042129991 Enrollment ID: O20040202001203 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Castrenze Roby Fricano, MD 712 S Cascade St, Fergus Falls, MN 56537-2913 Ph: (218) 736-8000 | Dr Castrenze Roby Fricano, MD 712 S Cascade St, Fergus Falls, MN 56537-2913 Ph: (218) 736-8000 |
David W Ellison, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 712 South Cascade Street, Fergus Falls, MN 56537 Phone: 218-736-8000 Fax: 218-736-8757 | |
Dr. Robert S Noyes, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 712 South Cascade Street, Fergus Falls, MN 56537 Phone: 218-736-8000 Fax: 218-736-8757 |