| Cody W Bekkerus, | |
|
1743 Huntington Ct, West Fargo, ND 58078-4302 | |
| (701) 388-5142 | |
| Not Available |
| Full Name | Cody W Bekkerus |
|---|---|
| Gender | Male |
| Speciality | Registered Nurse |
| Location | 1743 Huntington Ct, West 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 |
|---|---|---|---|
| 1740968759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | R45055 (North Dakota) | Primary |
| Entity Name | Avera St Lukes |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215100813 PECOS PAC ID: 6406764927 Enrollment ID: O20040120000912 |
| Mailing Address | Practice Location Address |
|---|---|
| Cody W Bekkerus, 1743 Huntington Ct, West Fargo, ND 58078-4302 Ph: (701) 388-5142 | Cody W Bekkerus, 1743 Huntington Ct, West Fargo, ND 58078-4302 Ph: (701) 388-5142 |
Jamie Machayya, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2028 2nd Ave Nw, West Fargo, ND 58078 Phone: 701-356-2000 | |
Kevin Kurt Axtman, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1115 Westport Beach Way Unit B, West Fargo, ND 58078 Phone: 701-240-1758 | |
Hannah Boese, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2028 2nd Ave Nw, West Fargo, ND 58078 Phone: 701-356-2000 | |
Kasar Maii, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2877 Mcleod Dr E, West Fargo, ND 58078 Phone: 701-540-1239 | |
Rachel Rogers, Registered Nurse Medicare: Medicare Enrolled Practice Location: 1743 Huntington Ct, West Fargo, ND 58078 Phone: 605-290-2012 | |
Shannon Kathleen Swiontek, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2629 8th St W, West Fargo, ND 58078 Phone: 701-793-6051 | |
Deidre Marie Kilde, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1100 13th Ave E, West Fargo, ND 58078 Phone: 701-281-5695 |