| Phyllis Eason, MD | |
|
100 4th St S, Fargo, ND 58103-1929 | |
| (701) 234-3100 | |
| (701) 234-3120 |
| Full Name | Phyllis Eason |
|---|---|
| Gender | Female |
| Speciality | Psychiatry |
| Experience | 36 Years |
| Location | 100 4th St 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 |
|---|---|---|---|
| 1174596746 | NPI | - | NPPES |
| 18207 | Medicaid | ND | |
| 1174596746 | Medicaid | MN |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health St Mary's Hospital Jefferson City | Jefferson city, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ssm Regional Health Services | 8921917352 | 165 |
| Entity Name | Poplar Bluff Hma Physician Management, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598710147 PECOS PAC ID: 5092769703 Enrollment ID: O20050307000013 |
| Mailing Address | Practice Location Address |
|---|---|
| Phyllis Eason, MD Po Box 2168, Fargo, ND 58107-2168 Ph: (701) 234-2119 | Phyllis Eason, MD 100 4th St S, Fargo, ND 58103-1929 Ph: (701) 234-3100 |
Susan L Scarberry, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 700 1st Ave S, Fargo, ND 58103 Phone: 701-234-4036 Fax: 701-234-4160 | |
Charlotte Marie Andersen, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 510 4th Street S, Fargo, ND 58107 Phone: 701-476-7200 | |
Dr. Brandi Hoffart, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4820 23rd Ave S Ste 200, Fargo, ND 58104 Phone: 701-293-4113 Fax: 701-293-4109 | |
Dr. Lawana Marie Burtnett, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 510 4th St S, Fargo, ND 58103 Phone: 701-476-7200 | |
Dr. Ravinda Samaraweera, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 700 1st Ave S, Fargo, ND 58103 Phone: 701-234-4036 Fax: 701-234-4160 | |
Dr. Timothy T Vo, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2624 9th Ave S, Southeast Human Service Center, Fargo, ND 58103 Phone: 701-298-4500 Fax: 701-298-4400 | |
Karis Antonia Stenback Irving, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2101 Elm St Ne, Fargo, ND 58102 Phone: 615-918-0639 Fax: 612-749-3990 |