| Medallus & Vacharothone Ltd | |
|
721 1st Ave S Unit A Jamestown ND 58401 | |
| (877) 633-9110 | |
| Not Available |
| Full Name | Medallus & Vacharothone Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 721 1st Ave S Unit A, Jamestown, North Dakota |
| Authorized Official Name and Position | Rachot Vacharothone (CEO) |
| Authorized Official Contact | 8012601919 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medallus & Vacharothone Ltd Po Box 95970 South Jordan UT 84095-0970 Ph: (800) 877-9236 | Medallus & Vacharothone Ltd 721 1st Ave S Unit A Jamestown ND 58401 Ph: (877) 633-9110 |
| NPI Number | 1710496310 |
|---|---|
| Provider Enumeration Date | 09/26/2017 |
| Last Update Date | 07/24/2018 |
| Medicare PECOS PAC ID | 3072871276 |
|---|---|
| Medicare Enrollment ID | O20180213000429 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710496310 | NPI | - | NPPES |
| Provider Name | Kara A Falk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548362502 PECOS PAC ID: 7113923012 Enrollment ID: I20061017000467 |
| Provider Name | Pamela J Montplaisir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437470200 PECOS PAC ID: 2567587199 Enrollment ID: I20100920000243 |
| Provider Name | Roxanne M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609912450 PECOS PAC ID: 2668653387 Enrollment ID: I20110228000811 |
| Provider Name | Noelle K Riehl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346600251 PECOS PAC ID: 5092012021 Enrollment ID: I20160318000611 |
| Provider Name | Rachot K Vacharothone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548228497 PECOS PAC ID: 9931013745 Enrollment ID: I20180329000751 |
| Provider Name | Cynthia L Wald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912498593 PECOS PAC ID: 7719237932 Enrollment ID: I20180910003123 |
| Provider Name | Stella Chisomaga Onyeakazi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053825224 PECOS PAC ID: 9830420215 Enrollment ID: I20191016001829 |
| Provider Name | Dan L Beach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811500226 PECOS PAC ID: 7810317781 Enrollment ID: I20201014001308 |
| Provider Name | Amanda Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073057444 PECOS PAC ID: 0840605705 Enrollment ID: I20210226001842 |
| Provider Name | Rebecca L Lafavor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114695541 PECOS PAC ID: 5496145989 Enrollment ID: I20211123002197 |
| Provider Name | Abby Wald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184355000 PECOS PAC ID: 5597148916 Enrollment ID: I20220818000378 |
Medcenter One Health Systems Jamestown Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 2nd Ave Ne, Jamestown, ND 58401 Phone: 701-251-6000 Fax: 701-323-5709 | |
Hochhalter Chiropractic, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 118 2nd Street Nw, Jamestown, ND 58401 Phone: 701-952-2225 | |
Essentia Health Jamestown Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2430 20th St Sw, Jamestown, ND 58401 Phone: 701-253-5300 Fax: 701-253-5300 | |
Dakota Clinic, Ltd. - Jamestown Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 3rd St Se, Jamestown, ND 58401 Phone: 701-253-5300 Fax: 701-253-5402 |