| Praveen Jinnur, MD | |
|
1702 University Dr S, Fargo, ND 58103-4940 | |
| (701) 364-3300 | |
| (701) 364-8906 |
| Full Name | Praveen Jinnur |
|---|---|
| Gender | Male |
| Speciality | Pulmonary Disease |
| Experience | 25 Years |
| Location | 1702 University Dr S, Fargo, 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 |
|---|---|---|---|
| 1467755165 | NPI | - | NPPES |
| ENROLLED | Medicaid | MN | |
| ENROLLED | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RS0012X | Internal Medicine - Sleep Medicine | 13606 (North Dakota) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | 13606 (North Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Methodist Fremont Health | Fremont, NE | Hospital |
| Essentia Health | Fargo, ND | Hospital |
| Saunders Medical Center | Wahoo, NE | Hospital |
| Essentia Health St Marys - Detroit Lakes | Detroit lakes, MN | Hospital |
| Chi Health Bergan Mercy | Omaha, NE | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Innovis Health Llc | 9931298155 | 509 |
| Alegent Creighton Clinic | 1951210418 | 890 |
| Innovis Health Llc | 9931298155 | 509 |
| Alegent Creighton Clinic | 1951210418 | 890 |
| Entity Name | Innovis Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215125463 PECOS PAC ID: 9931298155 Enrollment ID: O20071211000158 |
| Mailing Address | Practice Location Address |
|---|---|
| Praveen Jinnur, MD 1702 University Dr S, Fargo, ND 58103-4940 Ph: (701) 364-3300 | Praveen Jinnur, MD 1702 University Dr S, Fargo, ND 58103-4940 Ph: (701) 364-3300 |
Abdallah M Mansour, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8900 | |
Gerald G Gross, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 820 4th St N, Fargo, ND 58102 Phone: 701-234-6161 | |
Paul James Carson, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-4811 Fax: 701-234-6979 | |
Howard L Russell, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 820 N 4th St, Fargo, ND 58122 Phone: 701-234-6161 Fax: 701-234-3861 | |
Stephen John Lee, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 2101 Elm Street N, Fargo, ND 58102 Phone: 701-239-3700 | |
Dr. Emuejevoke Joseph Okoh, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000 | |
Devendranath Reddy Mannuru, M.D Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 218-786-8364 |