Basem Fanous, DPM is a
Podiatrist based in Cando, North Dakota. Basem Fanous is licensed to practice in North Dakota (license number 32) and his current practice location is
Hwy 281n, Cando, North Dakota. He can be reached at his office (for appointments etc.) via phone at
(701) 968-2541.
NPI number for Basem Fanous is 1336173871 and his current mailing address is Po Box 688, Cando, North Dakota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336173871.
Healthcare Provider's Profile
| Full Name | Basem Fanous |
|---|
| Gender | Male |
|---|
| Speciality | Podiatrist |
|---|
| Location | Hwy 281n, Cando, North Dakota |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1336173871
- Provider Enumeration Date: 07/10/2006
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Basem Fanous such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336173871 | NPI | - | NPPES |
| 25667 | Other | ND | BCBS PROVIDER # |
| 25923 | Other | ND | BCBS PROVIDER # |
| 17592 | Medicaid | ND | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | 32 (North Dakota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Basem Fanous is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Basem Fanous, DPM
Po Box 688,
Cando, ND 58324-0688
Ph: (701) 968-2541 | Basem Fanous, DPM
Hwy 281n,
Cando, ND 58324-0688
Ph: (701) 968-2541 |
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