| Scott A Fontaine, CRNA | |
|
1200 S Columbia Rd, Grand Forks, ND 58201-4036 | |
| (701) 780-5000 | |
| Not Available |
| Full Name | Scott A Fontaine |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 22 Years |
| Location | 1200 S Columbia Rd, Grand Forks, 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 |
|---|---|---|---|
| 1801956792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1222 (Minnesota) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | R26525 (North Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Altru Hospital | Grand forks, ND | Hospital |
| Sanford Bemidji Medical Center | Bemidji, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Altru Health System | 1355251604 | 554 |
| Altru Health System | 1355251604 | 554 |
| Sanford Health Of Northern Minnesota | 5597725168 | 299 |
| Entity Name | Altru Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043309552 PECOS PAC ID: 1355251604 Enrollment ID: O20031111000714 |
| 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 |
|---|---|
| Scott A Fontaine, CRNA Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () - | Scott A Fontaine, CRNA 1200 S Columbia Rd, Grand Forks, ND 58201-4036 Ph: (701) 780-5000 |
Scott B Carter, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-5000 | |
Jennifer A Harrison, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-5000 | |
Jessica Anne Bratrud, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 S Columbia Rd - Altru Hospital, Grand Forks, ND 58201 Phone: 701-780-6000 | |
Mrs. Liana Rae Madsen, APRN, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1200 S. Columbia Rd., Grand Forks, ND 58201 Phone: 218-779-5669 | |
Carissa Ashlee Grabanski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-5000 | |
Nathan Koland, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 S Columbia Rd - Altru Hospital, Grand Forks, ND 58201 Phone: 701-780-6000 | |
Timothy Richard Schmiedeberg, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1200 S Columbia Rd - Altru Hospital, Grand Forks, ND 58201 Phone: 701-780-6000 Fax: 701-780-1942 |