| 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: Medicare Enrolled Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8900 | |
| Gerald G Gross, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 820 4th St N, Fargo, ND 58102 Phone: 701-234-6161 | |
| Paul James Carson, MD Internal Medicine Medicare: Accepting Medicare Assignments 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: Accepting Medicare Assignments 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 | |
| Dr. Krishna Chaitanya Talluri, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2731 |