| Dr Pamela Marie Antoniuk, MD | |
|
3000 32nd Ave S, Fargo, ND 58103-6132 | |
| (701) 364-8000 | |
| Not Available |
| Full Name | Dr Pamela Marie Antoniuk |
|---|---|
| Gender | Female |
| Speciality | Plastic And Reconstructive Surgery |
| Experience | 37 Years |
| Location | 3000 32nd Ave S, Fargo, North Dakota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366513970 | NPI | - | NPPES |
| 15402 | Medicaid | ND | |
| 1366513970 | Medicaid | MN | |
| 9020306 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | 11656 (North Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Essentia Health | Fargo, ND | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Innovis Health Llc | 9931298155 | 509 |
| 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 |
| 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 Pamela Marie Antoniuk, MD Po Box 6001, Fargo, ND 58108-6001 Ph: (701) 364-8000 | Dr Pamela Marie Antoniuk, MD 3000 32nd Ave S, Fargo, ND 58103-6132 Ph: (701) 364-8000 |
Dr. Nicholas Steven Adams, M.D Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3180 49th St S, Fargo, ND 58104 Phone: 701-412-2400 Fax: 701-941-7606 | |
Dr. Trajan Alistair Cuellar, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2801 University Dr S, Fargo, ND 58103 Phone: 701-234-5673 |