| Preston D Steen, MD | |
|
820 4th Street North, Fargo, ND 58122-0001 | |
| (701) 234-2397 | |
| (701) 234-3386 |
| Full Name | Preston D Steen |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Medical Oncology |
| Location | 820 4th Street North, Fargo, North Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124053285 | NPI | - | NPPES |
| 781705300 | Medicaid | MN | |
| 896042 | Other | PREFERRED ONE | |
| 16543 | Medicaid | ND | |
| HP11504 | Other | HEALTHPARTNERS | |
| 0C283ST | Other | MNBC | |
| 3619886 | Other | MEDICA | |
| N10317 | Medicaid | ND | |
| 10317 | Other | NDBC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RX0202X | Internal Medicine - Medical Oncology | 5967 (North Dakota) | Primary |
| 207RX0202X | Internal Medicine - Medical Oncology | 34155 (Minnesota) | Secondary |
| 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: O20110701000031 |
| Mailing Address | Practice Location Address |
|---|---|
| Preston D Steen, MD 820 4th Street North, Fargo, ND 58122-0001 Ph: (701) 234-2397 | Preston D Steen, MD 820 4th Street North, Fargo, ND 58122-0001 Ph: (701) 234-2397 |
Abdallah M Mansour, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8900 | |
Gerald G Gross, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 820 4th St N, Fargo, ND 58102 Phone: 701-234-6161 | |
Paul James Carson, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-4811 Fax: 701-234-6979 | |
Howard L Russell, MD Internal Medicine 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 Internal Medicine Medicare: Medicare Enrolled Practice Location: 2101 Elm Street N, Fargo, ND 58102 Phone: 701-239-3700 | |
Dr. Emuejevoke Joseph Okoh, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000 | |
Devendranath Reddy Mannuru, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 218-786-8364 |