Manuel A Colon-dejesus, MD | |
801 Broadway N, Fargo, ND 58102-3641 | |
(701) 234-5621 | |
Not Available |
Full Name | Manuel A Colon-dejesus |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 801 Broadway N, 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 |
---|---|---|---|
1083702427 | NPI | - | NPPES |
13170 | Medicaid | ND | |
700G560080 | Other | MI | BCBS GROUP, TRH |
10025792100 | Medicaid | NE | |
0507500032 | Other | MI | BCBS TRH |
Entity Name | Georgia Group Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093947236 PECOS PAC ID: 0840338018 Enrollment ID: O20091109000203 |
Entity Name | Mak Anesthesia Holdings, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912452939 PECOS PAC ID: 4284917204 Enrollment ID: O20170216001563 |
Entity Name | Rome Anesthesia Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740777317 PECOS PAC ID: 8921355504 Enrollment ID: O20180727002778 |
Mailing Address | Practice Location Address |
---|---|
Manuel A Colon-dejesus, MD 801 Broadway N, Fargo, ND 58102-3641 Ph: (701) 234-5621 | Manuel A Colon-dejesus, MD 801 Broadway N, Fargo, ND 58102-3641 Ph: (701) 234-5621 |
Dr. Latif Sean Ougzin, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8000 Fax: 701-364-8078 | |
John V Vinych, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8000 Fax: 701-364-8078 | |
Patrick J. Indergaard, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-6258 Fax: 701-234-7334 | |
Shelby Suzanne Best, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8000 | |
Layne Egan, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-417-2575 | |
Alanna Velo, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 218-205-7365 |