| Marissa Weingarten, CRNA | |
|
3000 32nd Ave S, Fargo, ND 58103-6132 | |
| (701) 364-8000 | |
| (701) 364-8078 |
| Full Name | Marissa Weingarten |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 12 Years |
| Location | 3000 32nd Ave S, Fargo, North Dakota |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447649819 | NPI | - | NPPES |
| 1463344 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R32885 (North Dakota) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 2897 (Minnesota) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sanford | Fargo, ND | Hospital |
| Essentia Health Fargo | Fargo, ND | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sanford Medical Center Fargo | 8426967803 | 1210 |
| Center For Pain Medicine Pa | 7012131501 | 5 |
| Innovis Health Llc | 9931298155 | 561 |
| Dakota Gastroenterology, Ltd | 5991921504 | 5 |
| 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 | Center for Pain Medicine PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902217474 PECOS PAC ID: 7012131501 Enrollment ID: O20140625000030 |
| Entity Name | Dakota Gastroenterology, Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881024271 PECOS PAC ID: 5991921504 Enrollment ID: O20140716002035 |
| Entity Name | Dakota Gastroenterology, Ltd |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1215455217 PECOS PAC ID: 5991921504 Enrollment ID: O20170927001419 |
| Entity Name | Cssa LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942830856 PECOS PAC ID: 2163852641 Enrollment ID: O20200423003470 |
| Entity Name | North Dakota Anesthesia Services PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710533989 PECOS PAC ID: 6002282134 Enrollment ID: O20221014001375 |
| Mailing Address | Practice Location Address |
|---|---|
| Marissa Weingarten, CRNA Po Box 6001, Fargo, ND 58108-6001 Ph: (701) 364-8000 | Marissa Weingarten, CRNA 3000 32nd Ave S, Fargo, ND 58103-6132 Ph: (701) 364-8000 |
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 |