| Dr Kirk David Wyatt, MD | |
|
820 4th St N, Fargo, ND 58102-4539 | |
| (701) 234-6161 | |
| Not Available |
| Full Name | Dr Kirk David Wyatt |
|---|---|
| Gender | Male |
| Speciality | Pediatric Medicine |
| Experience | 11 Years |
| Location | 820 4th St N, Fargo, North Dakota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699181495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 59626 (Minnesota) | Secondary |
| 2080P0207X | Pediatrics - Pediatric Hematology-oncology | 59626 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sanford Medical Center Fargo | Fargo, ND | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sanford Health Of Northern Minnesota | 5597725168 | 299 |
| Sanford Medical Center Fargo | 8426967803 | 1125 |
| Entity Name | Sanford Health Of Northern Minnesota |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770849697 PECOS PAC ID: 5597725168 Enrollment ID: O20041025000442 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kirk David Wyatt, MD Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () - | Dr Kirk David Wyatt, MD 820 4th St N, Fargo, ND 58102-4539 Ph: (701) 234-6161 |
Lidia D Krasniewska, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2701 13th Ave S, Fargo, ND 58103 Phone: 701-234-3620 Fax: 701-234-8831 | |
Muhammad Waqas, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8000 | |
Waldemar G Storm, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2261 Fax: 701-234-7194 | |
Brenda K Thurlow, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2431 Fax: 701-234-3740 | |
Dr. Samuel Odame Anim, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000 Fax: 701-234-2345 | |
Dr. Kristina K Rauser-foltz, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3000 32nd Avenue South, Fargo, ND 58103 Phone: 701-364-8000 Fax: 701-364-8078 | |
Rachel Katherine Heinze, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-417-2575 |