Bernie J Dallum, MD | |
1200 S Columbia Rd - Altru Hospital, Grand Forks, ND 58201 | |
(701) 780-5246 | |
Not Available |
Full Name | Bernie J Dallum |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 28 Years |
Location | 1200 S Columbia Rd - Altru Hospital, 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 |
---|---|---|---|
1023109139 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 8589 (North Dakota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Altru Hospital | Grand forks, ND | Hospital |
Cavalier County Memorial Hospital Association | Langdon, ND | Hospital |
Unity Medical Center | Grafton, ND | Hospital |
Northwood Deaconess Health Center | Northwood, ND | Hospital |
Cooperstown Medical Center | Cooperstown, ND | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Altru Health System | 1355251604 | 520 |
Altru Health System | 1355251604 | 520 |
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 | Cooperstown Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962548214 PECOS PAC ID: 5698687689 Enrollment ID: O20040203000722 |
Entity Name | Cavalier County Memorial Hospital Association |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1750328662 PECOS PAC ID: 5092623520 Enrollment ID: O20040216000293 |
Entity Name | Cavalier County Memorial Hospital Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750328662 PECOS PAC ID: 5092623520 Enrollment ID: O20040527000411 |
Mailing Address | Practice Location Address |
---|---|
Bernie J Dallum, MD 2401 Demers Ave, Grand Forks, ND 58201 Ph: (701) 780-1891 | Bernie J Dallum, MD 1200 S Columbia Rd - Altru Hospital, Grand Forks, ND 58201 Ph: (701) 780-5246 |
Gerald S Smyser, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1200 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-5000 | |
Dr. Andrew Lukaszewicz, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1300 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-2300 | |
Randall J Smith, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1200 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-5000 | |
Marshall Winchester, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 960 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-6000 | |
Larissa L Hood, MD Radiology Medicare: Medicare Enrolled Practice Location: 1000 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-6000 | |
Leslie A Soine, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1000 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-6000 |