| Dr Mariaha Jane Cobb, MD | |
|
2101 Elm St N, Fargo, ND 58102-2417 | |
| (701) 364-3300 | |
| Not Available |
| Full Name | Dr Mariaha Jane Cobb |
|---|---|
| Gender | Female |
| Speciality | Ophthalmology |
| 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 |
|---|---|---|---|
| 1679955280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 66645 (Minnesota) | Secondary |
| 207W00000X | Ophthalmology | 15881 (North Dakota) | Primary |
| Entity Name | Innovis Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215125463 PECOS PAC ID: 9931298155 Enrollment ID: O20071211000158 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mariaha Jane Cobb, MD 2101 Elm St N, Fargo, ND 58102-2417 Ph: () - | Dr Mariaha Jane Cobb, MD 2101 Elm St N, Fargo, ND 58102-2417 Ph: (701) 364-3300 |
Ahmed Mohamed Elsayed Kassem, M.D Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1717 University Dr S, Fargo, ND 58103 Phone: 701-461-5100 | |
Harold T Rodenbiker, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 100 4th St S Ste 612, Fargo, ND 58103 Phone: 701-235-0561 Fax: 701-235-0330 | |
Katayoon Baradaran Ebrahimi, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 1717 University Dr S, Fargo, ND 58103 Phone: 701-461-5100 | |
Tyler Looysen, MD, MPH Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4450 31st Ave S Ste 200, Fargo, ND 58104 Phone: 701-293-9829 Fax: 701-293-0111 | |
Bruce A Nelson, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 2400 32nd Ave S, Fargo, ND 58103 Phone: 701-234-3640 Fax: 701-234-3672 | |
Dr. Anne Keating, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3171 44th St S Unit 101, Fargo, ND 58104 Phone: 701-235-0561 Fax: 701-235-0330 | |
Hope R Yongsmith, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 2101 Elm St N, Fargo, ND 58102 Phone: 701-232-3241 |