| Dr Kurt G Datz, DO | |
|
2400 32nd Ave S, Fargo, ND 58103-5800 | |
| (701) 234-8820 | |
| Not Available |
| Full Name | Dr Kurt G Datz |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 36 Years |
| Location | 2400 32nd Ave S, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720159973 | NPI | - | NPPES |
| 1457058 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 7639 (North Dakota) | Secondary |
| 207R00000X | Internal Medicine | 7639 (North Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chi St Alexius Health | Bismarck, ND | Hospital |
| Sanford Medical Center Bismarck | Bismarck, ND | Hospital |
| Southwest Healthcare Services | Bowman, ND | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of North Dakota | 2961395934 | 22 |
| Southwesthealthcare Services | 3173512704 | 10 |
| Entity Name | University Of North Dakota |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619905528 PECOS PAC ID: 2961395934 Enrollment ID: O20040204000241 |
| Entity Name | Southwesthealthcare Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023083714 PECOS PAC ID: 3173512704 Enrollment ID: O20041005000745 |
| Entity Name | Southwesthealthcare Services |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1477529030 PECOS PAC ID: 3173512704 Enrollment ID: O20061104000689 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kurt G Datz, DO 2400 32nd Ave S, Fargo, ND 58103-5800 Ph: (701) 234-8820 | Dr Kurt G Datz, DO 2400 32nd Ave S, Fargo, ND 58103-5800 Ph: (701) 234-8820 |
Abdallah M Mansour, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8900 | |
Gerald G Gross, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 820 4th St N, Fargo, ND 58102 Phone: 701-234-6161 | |
Paul James Carson, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-4811 Fax: 701-234-6979 | |
Howard L Russell, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 820 N 4th St, Fargo, ND 58122 Phone: 701-234-6161 Fax: 701-234-3861 | |
Stephen John Lee, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2101 Elm Street N, Fargo, ND 58102 Phone: 701-239-3700 | |
Dr. Emuejevoke Joseph Okoh, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000 | |
Devendranath Reddy Mannuru, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 218-786-8364 |