| Dr Roy J Moen, MD | |
|
300 N 7th St, Bismarck, ND 58501-4439 | |
| (701) 323-6000 | |
| (701) 323-5918 |
| Full Name | Dr Roy J Moen |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 25 Years |
| Location | 300 N 7th St, Bismarck, 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 |
|---|---|---|---|
| 1528092772 | NPI | - | NPPES |
| 0144636 | Medicaid | MT | |
| 11585 | Medicaid | ND | |
| 25718 | Other | ND | BLUE CROSS OF ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 8772 (North Dakota) | Secondary |
| 207Q00000X | Family Medicine | 8772 (North Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sanford Home Care | Mandan, ND | Home health agency |
| Sanford Medical Center Bismarck | Bismarck, ND | Hospital |
| Linton Hospital - Cah | Linton, ND | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sanford Bismarck | 9739098575 | 492 |
| Entity Name | Sanford Bismarck |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811941172 PECOS PAC ID: 9739098575 Enrollment ID: O20031105000403 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Roy J Moen, MD Po Box 5074, Sioux Falls, SD 57117-5074 Ph: (605) 328-6585 | Dr Roy J Moen, MD 300 N 7th St, Bismarck, ND 58501-4439 Ph: (701) 323-6000 |
Gary Robert Betting, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 515 E Broadway, Center For Family Medicine, Bismarck, ND 58501 Phone: 701-751-9500 Fax: 701-751-9508 | |
James B Bossort, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 222 N 7th St, Bismarck, ND 58501 Phone: 701-323-6000 Fax: 701-323-5709 | |
Haily Datz, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 701 E Rosser Ave, Bismarck, ND 58501 Phone: 701-751-9500 Fax: 701-751-9508 | |
Monika Pothamsetti, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 E Rosser Ave, Bismarck, ND 58501 Phone: 701-751-9500 | |
Olimpia Rauta, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 222 N 7th St, Bismarck, ND 58501 Phone: 701-323-6000 Fax: 701-323-8305 | |
Dr. Jeremiah Jon Penn, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 N 9th St., Bismarck, ND 58501 Phone: 701-530-6000 Fax: 701-530-6422 | |
Dr. Todd W Schaffer, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3318 N 14th St, Bismarck, ND 58503 Phone: 701-323-8300 Fax: 701-323-8305 |