| Patricia L Laqua, MD | |
|
2400 32nd Ave S, Fargo, ND 58103-5800 | |
| (701) 234-2000 | |
| (701) 234-8803 |
| Full Name | Patricia L Laqua |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 23 Years |
| Location | 2400 32nd Ave S, 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 |
|---|---|---|---|
| 1588690903 | NPI | - | NPPES |
| 27243 | Other | ND | NDBS # |
| 759S5LA | Other | MN | MNBS # |
| 0124374 | Other | ND | MEDICA # |
| 181850 | Other | ND | UCARE # |
| 0124375 | Other | ND | MEDICA # |
| 816183600 | Medicaid | MN | |
| 0124373 | Other | ND | MEDICA # |
| 13584 | Medicaid | ND | |
| HP69894 | Other | ND | HEALTHPARTNERS # |
| 2444457 | Other | ND | AMERICA'S PPO-ARAZ # |
| 648N0LA | Other | ND | MNBS # |
| DA9011045621 | Other | ND | PREFERRED ONE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 9807 (North Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sanford Medical Center Fargo | Fargo, ND | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| 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: O20110331000495 |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia L Laqua, MD Po Box 2010, Fargo, ND 58122-2484 Ph: () - | Patricia L Laqua, MD 2400 32nd Ave S, Fargo, ND 58103-5800 Ph: (701) 234-2000 |
Dr. Michelle Renae Bradley, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4110 51st Ave S, Fargo, ND 58104 Phone: 701-364-3100 | |
Mary M. Nybakken, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-417-2575 Fax: 701-417-2535 | |
Naomi Schuldt, DNP, APRN, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 32nd Ave S, Fargo, ND 58103 Phone: 701-234-2000 | |
Randall A Kenninger, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 32nd Ave S, Fargo, ND 58103 Phone: 701-234-8830 Fax: 702-234-8950 | |
Megan Harrington, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000 | |
Andrea Leigh Nellermoe Kaster, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000 | |
Christine Hanish O'donnell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 32nd Ave S, Fargo, ND 58103 Phone: 701-234-8830 |