| Thomas J Mohs, MD | |
|
275 11th St S, Wahpeton, ND 58075-4655 | |
| (701) 642-2000 | |
| (701) 671-4106 |
| Full Name | Thomas J Mohs |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 34 Years |
| Location | 275 11th St S, Wahpeton, 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 |
|---|---|---|---|
| 1427085836 | NPI | - | NPPES |
| 14516 | Other | ND | NDBS # |
| 30Q14MO | Other | ND | MNBS # |
| HP25809 | Other | ND | HEALTHPARTNERS # |
| 68D42MO | Other | ND | MNBS # |
| 764743 | Other | ND | AMERICA'S PPO/ARAZ # |
| 1700489 | Other | ND | MEDICA # |
| 18807 | Medicaid | ND | |
| DA9051015627 | Other | ND | PREFERRED ONE # |
| 142040 | Other | ND | UCARE # |
| 963517300 | Medicaid | ND | |
| 29T29MO | Other | ND | MNBS # |
| 1700488 | Other | ND | MEDICA # |
| 13984 | Other | ND | NDBS # |
| 21402 | Other | ND | SIOUX VALLEY # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 7456 (North Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Essentia Health | Fargo, ND | Hospital |
| Sanford Wheaton Medical Center | Wheaton, MN | Hospital |
| Essentia Health St Marys - Detroit Lakes | Detroit lakes, MN | Hospital |
| Jamestown Regional Medical Center | Jamestown, ND | Hospital |
| Lisbon Area Health Services | Lisbon, ND | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Marys Regional Health Center | 2062326820 | 158 |
| Innovis Health Llc | 9931298155 | 509 |
| Innovis Health Llc | 9931298155 | 509 |
| Entity Name | St Marys Regional Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679561088 PECOS PAC ID: 2062326820 Enrollment ID: O20031117000090 |
| Entity Name | St Josephs Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568415974 PECOS PAC ID: 8224948443 Enrollment ID: O20031119000468 |
| Entity Name | First Care Medical Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073638565 PECOS PAC ID: 3678542842 Enrollment ID: O20040927000035 |
| Entity Name | Lake Region Healthcare Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093713372 PECOS PAC ID: 3971565334 Enrollment ID: O20060109000246 |
| Entity Name | Innovis Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659617504 PECOS PAC ID: 9931298155 Enrollment ID: O20080115000831 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas J Mohs, MD 275 11th St S, Wahpeton, ND 58075-4655 Ph: (701) 642-2000 | Thomas J Mohs, MD 275 11th St S, Wahpeton, ND 58075-4655 Ph: (701) 642-2000 |
Paul S Wasemiller, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 275 11th St S, Wahpeton, ND 58075 Phone: 701-642-2000 Fax: 701-671-4106 | |
Dr. Jerome Matthew Guanciale, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 332 2nd Ave N, Wahpeton, ND 58075 Phone: 701-642-7000 Fax: 701-642-7055 |