| Madalyn Muldoon, | |
|
1720 University Dr S, Fargo, ND 58103-4940 | |
| (701) 234-2000 | |
| (701) 234-4938 |
| Full Name | Madalyn Muldoon |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 10 Years |
| Location | 1720 University Dr S, Fargo, North Dakota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558895664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 113448 (North Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Essentia Health Fargo | Fargo, ND | Hospital |
| Sanford Medical Center Bismarck | Bismarck, ND | Hospital |
| Sanford | Fargo, ND | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sanford Medical Center Fargo | 8426967803 | 1210 |
| Trinity Health | 7911816020 | 292 |
| Sanford Bismarck | 9739098575 | 562 |
| Innovis Health Llc | 9931298155 | 561 |
| Entity Name | Sanford Bismarck |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811941172 PECOS PAC ID: 9739098575 Enrollment ID: O20031105000403 |
| Entity Name | Trinity Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083653752 PECOS PAC ID: 7911816020 Enrollment ID: O20031106000316 |
| Entity Name | Innovis Health LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215125463 PECOS PAC ID: 9931298155 Enrollment ID: O20071211000158 |
| 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 |
| Entity Name | Cssa LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942830856 PECOS PAC ID: 2163852641 Enrollment ID: O20200423003470 |
| Mailing Address | Practice Location Address |
|---|---|
| Madalyn Muldoon, Po Box 5074, Sioux Falls, SD 57117-5074 Ph: (605) 328-6585 | Madalyn Muldoon, 1720 University Dr S, Fargo, ND 58103-4940 Ph: (701) 234-2000 |
Ashley Heule, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-371-7635 |
Julie Honeyman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-6355 |
Todd D Underdahl, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 737 Broadway, Fargo, ND 58122 Phone: 701-234-6258 Fax: 701-234-7334 |
Katie C Busker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 737 Broadway, Fargo, ND 58122 Phone: 701-234-6258 |
Jordan Idso, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2868 |
Lindsey K Holter, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-417-2575 |
Joshua Keith Maliske, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-417-2000 |