| Nicole Samson, MD | |
|
1001 7th Street Ne - Altru Clinic/devils Lake, Devils Lake, ND 58301-2719 | |
| (701) 662-2157 | |
| (701) 780-4391 |
| Full Name | Nicole Samson |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 10 Years |
| Location | 1001 7th Street Ne - Altru Clinic/devils Lake, Devils Lake, 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 |
|---|---|---|---|
| 1134578537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | RL14150 (North Dakota) | Secondary |
| 207Q00000X | Family Medicine | 15356 (North Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Altru Hospital | Grand forks, ND | Hospital |
| Chi St Alexius Health Devils Lake | Devils lake, ND | Hospital |
| Eventide Heartland | Devils lake, ND | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Altru Health System | 1355251604 | 554 |
| Entity Name | Altru Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043309552 PECOS PAC ID: 1355251604 Enrollment ID: O20031111000714 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Samson, MD 2401 Demers Ave, Grand Forks, ND 58201 Ph: (701) 780-1891 | Nicole Samson, MD 1001 7th Street Ne - Altru Clinic/devils Lake, Devils Lake, ND 58301-2719 Ph: (701) 662-2157 |
Rita Nalubega, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 503 3rd St Ne, Devils Lake, ND 58301 Phone: 701-662-4300 Fax: 701-662-4322 | |
Dr. Elson Tan Lim, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1031 5th Street, Devils Lake, ND 58208 Phone: 701-662-9670 | |
Douglas L. Greves, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1001 7th Street Ne, Devils Lake, ND 58301 Phone: 701-662-2157 Fax: 701-662-4116 | |
Stephanie Ann Foughty, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 7th St Ne Altru Clinic/devlis Lake, Devils Lake, ND 58301 Phone: 701-662-2157 | |
Heidi M Bittner, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1001 7th St Ne, Devils Lake, ND 58301 Phone: 701-662-2157 Fax: 701-662-4116 | |
Paul J Fetterly, MD, FACOG Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1001 7th St Ne, Devils Lake, ND 58301 Phone: 701-662-2157 Fax: 701-662-4116 |