| Dr Jeremy Michael Jones, DO | |
|
5225 23rd Ave S, Fargo, ND 58104-7927 | |
| (701) 234-5933 | |
| Not Available |
| Full Name | Dr Jeremy Michael Jones |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 5225 23rd Ave S, 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 |
|---|---|---|---|
| 1225777311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 21334 (North Dakota) | Secondary |
| 207R00000X | Internal Medicine | RL18551 (North Dakota) | Primary |
| Entity Name | Psj Acquisition Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679709802 PECOS PAC ID: 7012062235 Enrollment ID: O20090918000240 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeremy Michael Jones, DO 5225 23rd Ave S, Fargo, ND 58104-7927 Ph: (701) 234-5933 | Dr Jeremy Michael Jones, DO 5225 23rd Ave S, Fargo, ND 58104-7927 Ph: (701) 234-5933 |
Abdallah M Mansour, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8900 | |
Gerald G Gross, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 820 4th St N, Fargo, ND 58102 Phone: 701-234-6161 | |
Paul James Carson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-4811 Fax: 701-234-6979 | |
Howard L Russell, MD Internal Medicine 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 Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2101 Elm Street N, Fargo, ND 58102 Phone: 701-239-3700 | |
Dr. Emuejevoke Joseph Okoh, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000 | |
Dr. Krishna Chaitanya Talluri, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2731 |