| Matthew Dewitt Davis, PA | |
|
801 Broadway N, Fargo, ND 58102-3641 | |
| (701) 234-2000 | |
| Not Available |
| Full Name | Matthew Dewitt Davis |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 801 Broadway N, Fargo, 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 |
|---|---|---|---|
| 1477238533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PAC1010 (North Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Park Nicollet Methodist Hospital | Saint louis park, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Park Nicollet Clinic | 7911819438 | 1778 |
| Entity Name | Park Nicollet Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Dewitt Davis, PA Po Box 5074, Sioux Falls, SD 57117-5074 Ph: (605) 328-9419 | Matthew Dewitt Davis, PA 801 Broadway N, Fargo, ND 58102-3641 Ph: (701) 234-2000 |
Gwen P Nordahl, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2101 Elm St N, Fargo, ND 58102 Phone: 218-739-1400 |
Dana L Stegmiller, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2400 32nd Ave S, Fargo, ND 58103 Phone: 701-234-8830 Fax: 701-234-8950 |
Dr. Laurie Annette Somerville, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1720 University Dr S, Fargo, ND 58103 Phone: 701-280-4140 |
Susan K Falck, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 700 1st Ave S, Fargo, ND 58103 Phone: 701-234-4036 |
Parker Lanoue, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2301 25th St S, Fargo, ND 58103 Phone: 701-234-7400 |
Marie L Brekken, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1720 University Dr S, Fargo, ND 58103 Phone: 701-280-4375 Fax: 701-461-5764 |
Cherie Lynn Dowell, MPAS Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2586 Pacific Dr S, Fargo, ND 58103 Phone: 701-715-6286 |