Jeffrey Mark Wiisanen, MD in Fargo, ND

Jeffrey Mark Wiisanen, MD is a medicare enrolled "Internal Medicine - Hematology & Oncology" physician in Fargo, North Dakota. He went to University Of North Dakota School Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Hematology. He is a member of the group practice Sanford Medical Center Fargo and his current practice location is 820 4th St N, Fargo, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 234-6161.

Jeffrey Mark Wiisanen is licensed to practice in Minnesota (license number 58264) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1306282025.

Contact Information

	Jeffrey Mark Wiisanen, MD
	820 4th St N, Fargo, ND 58102-4539
	(701) 234-6161
	(701) 234-7592

Map and Direction

Physician's Profile

Full Name	Jeffrey Mark Wiisanen
Gender	Male
Speciality	Hematology
Experience	11 Years
Location	820 4th St N, Fargo, 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.

Medical Education and Training:

Jeffrey Mark Wiisanen attended and graduated from University Of North Dakota School Of Medicine in 2013

NPI Data:

NPI Number: 1306282025
Provider Enumeration Date: 05/21/2013
Last Update Date: 09/17/2019

Medicare PECOS Information:

PECOS PAC ID: 1658519301
Enrollment ID: I20191112003141

Medical Identifiers

Medical identifiers for Jeffrey Mark Wiisanen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306282025	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	58264 (Minnesota)	Secondary
207RH0003X	Internal Medicine - Hematology & Oncology	58264 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Hospice Of Red River Valley	Fargo, ND	Hospice
Sanford Medical Center Fargo	Fargo, ND	Hospital
Jamestown Regional Medical Center	Jamestown, ND	Hospital
Carrington Health Center	Carrington, ND	Hospital
Perham Health	Perham, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sanford Medical Center Fargo	8426967803	1094

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. Jeffrey Mark Wiisanen allows following entities to bill medicare on his behalf.

Entity Name	Sanford Clinic North
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942241351 PECOS PAC ID: 4284546151 Enrollment ID: O20031112000221

Entity Name	Lutheran Charity Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821044652 PECOS PAC ID: 2264341031 Enrollment ID: O20040128000565

Entity Name	Lutheran Charity Association
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1548256753 PECOS PAC ID: 2264341031 Enrollment ID: O20080616000530

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

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. Jeffrey Mark Wiisanen 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
Jeffrey Mark Wiisanen, MD 820 4th St N, Fargo, ND 58102-4539 Ph: (701) 234-6161	Jeffrey Mark Wiisanen, MD 820 4th St N, Fargo, ND 58102-4539 Ph: (701) 234-6161

Reviews and Comments

Internal Medicine Doctors in Fargo, ND

Dr. Keri Lynn Crewson, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: Sanford Health, 801 Broadway North, Fargo, ND 58122 Phone: 701-234-5933 Fax: 701-234-7230
Abdallah M Mansour, MD Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8900
Derek Anderson, DO Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-234-5933
Gerald G Gross, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 820 4th St N, Fargo, ND 58102 Phone: 701-234-6161
Paul James Carson, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-4811 Fax: 701-234-6979
Howard L Russell, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 820 N 4th St, Fargo, ND 58122 Phone: 701-234-6161 Fax: 701-234-3861
Dr. Emuejevoke Joseph Okoh, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000

Jeffrey Mark Wiisanen, MD - Medicare Hematology in Fargo, ND