| Dr Michael S Bouton, MD | |
|
801 Broadway N, Fargo, ND 58102-3641 | |
| (701) 234-2251 | |
| (701) 234-2050 |
| Full Name | Dr Michael S Bouton |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 41 Years |
| Location | 801 Broadway 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 |
|---|---|---|---|
| 1356336358 | NPI | - | NPPES |
| 14800 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | R4107 (Arkansas) | Secondary |
| 208600000X | Surgery | G9329 (Texas) | Secondary |
| 208600000X | Surgery | 10920 (North Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sanford Medical Center Fargo | Fargo, ND | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sanford Medical Center Fargo | 8426967803 | 1125 |
| Entity Name | Sanford Medical Center Fargo |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael S Bouton, MD Po Box 2010, Fargo, ND 58122-0605 Ph: () - | Dr Michael S Bouton, MD 801 Broadway N, Fargo, ND 58102-3641 Ph: (701) 234-2251 |
Dre Steinwehr, Surgery Medicare: Accepting Medicare Assignments Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-417-2575 | |
Zachary Joseph Ernst, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8000 | |
Jerome I Thompson, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 737 Broadway N, Fargo, ND 58122 Phone: 701-234-4811 Fax: 701-234-6979 | |
Bhargav M Mistry, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-6715 Fax: 701-234-3868 | |
Roxanne V Newman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2254 Fax: 701-234-3769 | |
Steven E Briggs, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2251 Fax: 701-234-2050 | |
Johanna R Askegard, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-3467 |