| Craig Backous, DO | |
|
2101 Elm St N, Fargo, ND 58102-2417 | |
| (701) 239-3700 | |
| Not Available |
| Full Name | Craig Backous |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Pulmonary Disease |
| 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 |
|---|---|---|---|
| 1073713418 | NPI | - | NPPES |
| Entity Name | Swedish Covenant Management Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760432348 PECOS PAC ID: 4486556016 Enrollment ID: O20040123000850 |
| Entity Name | Erie Family Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760499545 PECOS PAC ID: 9537050422 Enrollment ID: O20040322000689 |
| Entity Name | Endeavor Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
| Mailing Address | Practice Location Address |
|---|---|
| Craig Backous, DO 2101 Elm St N, Fargo, ND 58102-2417 Ph: (701) 239-3700 | Craig Backous, DO 2101 Elm St N, Fargo, ND 58102-2417 Ph: (701) 239-3700 |
Abdallah M Mansour, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8900 | |
Gerald G Gross, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 820 4th St N, Fargo, ND 58102 Phone: 701-234-6161 | |
Paul James Carson, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-4811 Fax: 701-234-6979 | |
Howard L Russell, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 820 N 4th St, Fargo, ND 58122 Phone: 701-234-6161 Fax: 701-234-3861 | |
Stephen John Lee, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 2101 Elm Street N, Fargo, ND 58102 Phone: 701-239-3700 | |
Dr. Emuejevoke Joseph Okoh, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000 | |
Devendranath Reddy Mannuru, M.D Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 218-786-8364 |