| Dr Olatubosun Fashoro, MD | |
|
323 S Minnesota St, Crookston, MN 56716-1601 | |
| (218) 281-9603 | |
| (218) 281-9461 |
| Full Name | Dr Olatubosun Fashoro |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 34 Years |
| Location | 323 S Minnesota St, Crookston, Minnesota |
| 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 |
|---|---|---|---|
| 1700823598 | NPI | - | NPPES |
| P00406999 | Other | RAILROAD MEDICARE | |
| 28040 | Other | BCBS ND | |
| 946L3FA | Other | MN | BCBS MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 9436 (North Dakota) | Secondary |
| 207R00000X | Internal Medicine | 49513 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Riverview Home Care | Crookston, MN | Home health agency |
| Hospice Of Red River Valley | Fargo, ND | Hospice |
| Riverview Hospital | Crookston, MN | Hospital |
| Altru Hospital | Grand forks, ND | Hospital |
| Sanford Medical Center Thief River Falls | Thief river falls, MN | Hospital |
| Villa St Vincent | Crookston, MN | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Riverview Healthcare Association | 7810806718 | 42 |
| Entity Name | Riverview Healthcare Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811918436 PECOS PAC ID: 7810806718 Enrollment ID: O20040128000040 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Olatubosun Fashoro, MD 323 S Minnesota St, Crookston, MN 56716-1601 Ph: (218) 281-9603 | Dr Olatubosun Fashoro, MD 323 S Minnesota St, Crookston, MN 56716-1601 Ph: (218) 281-9603 |
Sherine Talaat, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 323 S Minnesota St, Crookston, MN 56716 Phone: 218-281-9200 Fax: 218-281-9590 | |
Theodore S Olson, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 400 S Minnesota St, Crookston, MN 56716 Phone: 218-281-9100 | |
Comfort Oluwashola Olayioye, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 323 S Minnesota St, Crookston, MN 56716 Phone: 218-281-9200 | |
James Dean Brosseau, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 400 S Minnesota St - Altru Clinic/crookston, Crookston, MN 56716 Phone: 218-281-9100 | |
Israel Mostafa, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 323 S Minnesota St, Crookston, MN 56716 Phone: 218-281-9595 | |
David Fernando Frugone Larrea, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 South Minnesota Street, Crookston, MN 56716 Phone: 218-281-9100 |