| Dr Joseph Mark Ebertz, MD | |
|
2700 State St, Bismarck, ND 58503-0669 | |
| (701) 712-4500 | |
| (701) 712-4011 |
| Full Name | Dr Joseph Mark Ebertz |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Location | 2700 State St, Bismarck, 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 |
|---|---|---|---|
| 1649224809 | NPI | - | NPPES |
| 070015671 | Other | ND | MEDICARE RAILROAD |
| 11591 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 5421 (North Dakota) | Primary |
| Entity Name | Mid Dakota Clinic, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275587826 PECOS PAC ID: 9638072895 Enrollment ID: O20040127001063 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Joseph Mark Ebertz, MD 401 N 9th St, Bismarck, ND 58501-4507 Ph: (701) 712-4500 | Dr Joseph Mark Ebertz, MD 2700 State St, Bismarck, ND 58503-0669 Ph: (701) 712-4500 |
Theresa A Borrowman, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 401 N 9th St, Bismarck, ND 58501 Phone: 701-712-4500 | |
David L Appert, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2830 N Washington St, Bismarck, ND 58503 Phone: 701-323-6400 Fax: 017-323-5677 | |
Dr. Joseph A Luger, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 701 E Rosser Ave, Bismarck, ND 58501 Phone: 701-751-9500 Fax: 701-751-9508 | |
Dr. Alexandra Mia Geiger, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2830 N Washington St, Bismarck, ND 58503 Phone: 701-323-5677 | |
Dr. Hany Deirawan, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2700 State St, Bismarck, ND 58503 Phone: 701-712-4500 | |
Dr. William Eugene Cornatzer Jr., M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 225 N 7th St # 2, United Bank Bldg, Bismarck, ND 58501 Phone: 701-224-1273 Fax: 701-323-2929 |