Dr Saakwa Mante, MD is a medicare enrolled "Allergy & Immunology" physician in Fargo, North Dakota. His current practice location is
1702 University Dr S, Fargo, North Dakota. You can reach out to his office (for appointments etc.) via phone at
(701) 364-3300.
Dr Saakwa Mante is licensed to practice in North Dakota (license number 13206) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1962457598.
Physician's Profile
| Full Name | Dr Saakwa Mante |
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| Gender | Male |
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| Speciality | Allergy & Immunology |
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| Location | 1702 University Dr S, Fargo, North Dakota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1962457598
- Provider Enumeration Date: 05/23/2006
- Last Update Date: 05/08/2025
Medicare PECOS Information:
- PECOS PAC ID: 2163438466
- Enrollment ID: I20140619001308
Medical Identifiers
Medical identifiers for Dr Saakwa Mante such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962457598 | NPI | - | NPPES |
| 200367290A | Medicaid | KS | |
| 1457334 | Medicaid | ND | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207K00000X | Allergy & Immunology | 13206 (North Dakota) | Primary |
| 207R00000X | Internal Medicine | 04-31638 (Kansas) | Secondary |
| 207RA0201X | Internal Medicine - Allergy & Immunology | 13206 (North Dakota) | Secondary |
| 207K00000X | Allergy & Immunology | 04-31638 (Kansas) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Saakwa Mante allows following entities to bill medicare on his behalf.
| Entity Name | Innovis Health Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215125463
PECOS PAC ID: 9931298155
Enrollment ID: O20071211000158 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Saakwa Mante is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Saakwa Mante, MD
400 E 3rd St,
Duluth, MN 55805-1951
Ph: (218) 786-8364 | Dr Saakwa Mante, MD
1702 University Dr S,
Fargo, ND 58103-4940
Ph: (701) 364-3300 |
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