| Erica Martin-macintosh, MD | |
|
801 Broadway N, Fargo, ND 58102-3641 | |
| (701) 234-2345 | |
| Not Available |
| Full Name | Erica Martin-macintosh |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 15 Years |
| Location | 801 Broadway N, 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 |
|---|---|---|---|
| 1124344858 | NPI | - | NPPES |
| ENROLLED | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 54511 (Minnesota) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | 105576 (Minnesota) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sanford Medical Center Fargo | Fargo, ND | Hospital |
| Sanford Medical Center Thief River Falls | Thief river falls, MN | Hospital |
| Perham Health | Perham, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sanford Medical Center Fargo | 8426967803 | 1125 |
| Sanford Medical Center Fargo | 8426967803 | 1125 |
| 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: O20110701000031 |
| Entity Name | Sanford Health Network North |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386047355 PECOS PAC ID: 8022206663 Enrollment ID: O20180205002429 |
| Mailing Address | Practice Location Address |
|---|---|
| Erica Martin-macintosh, MD Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () - | Erica Martin-macintosh, MD 801 Broadway N, Fargo, ND 58102-3641 Ph: (701) 234-2345 |
Dr. Adam John Defoe, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8000 | |
Stephen P Garrity, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000 Fax: 701-234-7481 | |
Corey L Teigen, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-6236 Fax: 701-234-7332 | |
Michelle A Wadeson, Radiology Medicare: Not Enrolled in Medicare Practice Location: 2101 Elm St N, Fargo, ND 58102 Phone: 701-232-3324 | |
James Woods, Radiology Medicare: Not Enrolled in Medicare Practice Location: 2101 Elm St N, Fargo, ND 58102 Phone: 701-239-3700 | |
Dale R Shook, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2301 25th St S, Fargo, ND 58103 Phone: 701-271-1423 | |
Dr. John Christopher Asleson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-5015 |