| Dr Tracie Tuggle Newman, MD | |
| 2701 13th Ave S, Fargo, ND 58103-3602 | |
| (701) 234-3620 | |
| Not Available | 
| Full Name | Dr Tracie Tuggle Newman | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 2701 13th Ave S, Fargo, North Dakota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1699967810 | NPI | - | NPPES | 
| 1699967810 | Medicaid | MN | |
| 16848 | Medicaid | ND | |
| 1699967810 | Medicaid | WI | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 53118 (Minnesota) | Secondary | 
| 208000000X | Pediatrics | 54617-20 (Wisconsin) | Secondary | 
| 208000000X | Pediatrics | 12237 (North Dakota) | Primary | 
| 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 Tracie Tuggle Newman, MD 2701 13th Ave S, Fargo, ND 58103-3602 Ph: () - | Dr Tracie Tuggle Newman, MD 2701 13th Ave S, Fargo, ND 58103-3602 Ph: (701) 234-3620 | 
| Lidia D Krasniewska, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2701 13th Ave S, Fargo, ND 58103 Phone: 701-234-3620 Fax: 701-234-8831 | |
| Muhammad Waqas, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8000 | |
| Waldemar G Storm, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2261 Fax: 701-234-7194 | |
| Brenda K Thurlow, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2431 Fax: 701-234-3740 | |
| Dr. Samuel Odame Anim, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000 Fax: 701-234-2345 | |
| Dr. Kristina K Rauser-foltz, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3000 32nd Avenue South, Fargo, ND 58103 Phone: 701-364-8000 Fax: 701-364-8078 | |
| Rachel Katherine Heinze, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-417-2575 |