Bangalore S Vijayalakshmi, MD | |
1702 University Dr S, Fargo, ND 58103-4940 | |
(701) 364-3300 | |
(701) 364-8906 |
Full Name | Bangalore S Vijayalakshmi |
---|---|
Gender | Female |
Speciality | Physical Medicine And Rehabilitation |
Experience | 29 Years |
Location | 1702 University Dr S, Fargo, North Dakota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003843574 | NPI | - | NPPES |
2265220 | Other | ND | AMERICA'S PPO/ARAZ # |
137123 | Other | ND | UCARE # |
DA9011042827 | Other | ND | PREFERRED ONE # |
HP48628 | Other | ND | HEALTHPARTNERS # |
25030 | Other | ND | NDBS # |
363627500 | Medicaid | ND | |
2300320 | Other | ND | MEDICA # |
927S3VI | Other | ND | MNBS # |
13283 | Medicaid | ND | |
2300322 | Other | ND | MEDICA # |
38107 | Other | ND | LHS # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 9837 (North Dakota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Essentia Health | Fargo, ND | Hospital |
Essentia Health St Marys - Detroit Lakes | Detroit lakes, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pam Physician Enterprise | 1254628589 | 32 |
Innovis Health Llc | 9931298155 | 478 |
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 | Pam Physician Enterprise |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962856161 PECOS PAC ID: 1254628589 Enrollment ID: O20210413000857 |
Mailing Address | Practice Location Address |
---|---|
Bangalore S Vijayalakshmi, MD Po Box 6001, Fargo, ND 58108-6001 Ph: (701) 364-3300 | Bangalore S Vijayalakshmi, MD 1702 University Dr S, Fargo, ND 58103-4940 Ph: (701) 364-3300 |
Marie L Brekken, PA-C Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1720 University Dr S, Fargo, ND 58103 Phone: 701-280-4375 Fax: 701-461-5764 | |
Nina Magdalena Robinson, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1301 Centennial Blvd, Fargo, ND 58102 Phone: 612-708-7434 | |
William N Klava, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2203 Fax: 701-234-2899 | |
Mr. Tom L Baumgartner Jr., MPT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 4450 31st Ave S Ste 104, Fargo, ND 58104 Phone: 701-451-9417 Fax: 701-298-0066 | |
Dennis G Sollom, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1702 University Dr S, Fargo, ND 58103 Phone: 701-364-3300 Fax: 701-364-8906 | |
Dr. Kenny Chantasi, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000 |