| Stefanie Ulrike Hanisch, MD | |
|
2400 32nd Ave S, Fargo, ND 58103-5800 | |
| (701) 234-2000 | |
| (701) 234-4024 |
| Full Name | Stefanie Ulrike Hanisch |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 2400 32nd Ave S, 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 |
|---|---|---|---|
| 1447350400 | NPI | - | NPPES |
| 28773 | Other | ND | ND BCBS |
| HP51767 | Other | HEALTHPARTNERS | |
| 12303 | Medicaid | ND | |
| 318605900 | Medicaid | MN | |
| 858K6HA | Other | MN | MN BCBS |
| 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: O20110331000495 |
| Mailing Address | Practice Location Address |
|---|---|
| Stefanie Ulrike Hanisch, MD Po Box 5074, Sioux Falls, SD 57117-5074 Ph: (605) 328-9419 | Stefanie Ulrike Hanisch, MD 2400 32nd Ave S, Fargo, ND 58103-5800 Ph: (701) 234-2000 |
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: Medicare Enrolled 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 |