Peerawut Deeprasertkul, | |
1301 15th Ave W, Williston, ND 58801-3821 | |
(701) 774-7409 | |
Not Available |
Full Name | Peerawut Deeprasertkul |
---|---|
Gender | Male |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 20 Years |
Location | 1301 15th Ave W, Williston, 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 |
---|---|---|---|
1144466111 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 237179 (Massachusetts) | Secondary |
207RC0000X | Internal Medicine - Cardiovascular Disease | PT 14024 (North Dakota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Chi St Alexius Health Williston | Williston, ND | Hospital |
Chi St Alexius Health | Bismarck, ND | Hospital |
Tioga Medical Center | Tioga, ND | Hospital |
Chi St Alexius Health Dickinson | Dickinson, ND | Hospital |
Sakakawea Medical Center - Cah | Hazen, ND | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Medical Center | 7416851381 | 30 |
St Alexius Medical Center | 8426960865 | 205 |
Entity Name | St Alexius Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205868429 PECOS PAC ID: 8426960865 Enrollment ID: O20031104000146 |
Entity Name | Mercy Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801928593 PECOS PAC ID: 7416851381 Enrollment ID: O20031230000336 |
Mailing Address | Practice Location Address |
---|---|
Peerawut Deeprasertkul, 1301 15th Ave W, Williston, ND 58801-3821 Ph: (701) 774-7409 | Peerawut Deeprasertkul, 1301 15th Ave W, Williston, ND 58801-3821 Ph: (701) 774-7409 |
George M Wilson, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1321 W Dakota Pkwy, Williston, ND 58801 Phone: 701-572-7711 Fax: 701-572-2283 | |
Dr. John Madison Clair, DO Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1301 15th Ave W, Williston, ND 58801 Phone: 701-774-7400 | |
Austin James Mccoy, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1213 15th Ave. W., Craven Hagan Clinic, Williston, ND 58801 Phone: 701-572-7651 Fax: 352-265-1107 | |
Dr. Cory R Miller, MD Cardiovascular Disease Medicare: May Accept Medicare Assignments Practice Location: 1213 15th Ave W, Williston, ND 58801 Phone: 701-572-7651 Fax: 701-774-7482 | |
Dr. Bruce S. Pugatch, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1301 15th Ave W, Williston, ND 58801 Phone: 701-774-7400 |