| Dr Fernando Escobar, MD | |
|
1680 Diagonal Rd, Worthington, MN 56187-1008 | |
| (507) 372-3800 | |
| (507) 372-3806 |
| Full Name | Dr Fernando Escobar |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 1680 Diagonal Rd, Worthington, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548265994 | NPI | - | NPPES |
| 4993 | Other | SD | DAKOTACARE |
| 4997175 | Other | SD | BLUE CROSS |
| 7301830 | Medicaid | SD | |
| 22795 | Other | SD | SIOUX VALLEY HEALTH PLAN |
| 6459 | Other | SD | AVERA HEALTH PLANS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 53694 (Minnesota) | Secondary |
| 208600000X | Surgery | 4993 (South Dakota) | Primary |
| Entity Name | Sanford Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396764254 PECOS PAC ID: 0244143824 Enrollment ID: O20031110000532 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Fernando Escobar, MD Po Box 5074, Sioux Falls, SD 57117-5074 Ph: (605) 328-6585 | Dr Fernando Escobar, MD 1680 Diagonal Rd, Worthington, MN 56187-1008 Ph: (507) 372-3800 |
Connie L Morrison, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1216 Ryans Rd, Suite 1, Worthington, MN 56187 Phone: 507-372-2921 Fax: 507-372-5789 | |
James D Harris, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1216 Ryans Rd, Worthington, MN 56187 Phone: 507-372-2921 Fax: 507-372-5789 | |
Dr. John G Lundblad, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1680 Diagonal Rd, Worthington, MN 56187 Phone: 507-392-3800 Fax: 507-392-3806 | |
Dr. Gaddum P Reddy, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1680 Diagonal Rd, Worthington, MN 56187 Phone: 507-372-3800 Fax: 507-372-3806 | |
Akram Ahmed Ibrahim Ahmed, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1680 Diagonal Rd, Worthington, MN 56187 Phone: 507-372-3800 | |
Dr. Keyurkumar Anilkumar Shah, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1216 Ryans Rd Ste 1, Worthington, MN 56187 Phone: 507-372-2921 |