Charlotte Marie Andersen, MD | |
510 4th Street S, Fargo, ND 58107 | |
(701) 476-7200 | |
Not Available |
Full Name | Charlotte Marie Andersen |
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Gender | Female |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 510 4th Street S, Fargo, North Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023111606 | NPI | - | NPPES |
13798 | Other | ND | MEDICAID |
26728 | Other | ND | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 10156 (North Dakota) | Primary |
2084P0800X | Psychiatry & Neurology - Psychiatry | MDR3657 (Missouri) | Secondary |
Entity Name | Psj Acquisition Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679709802 PECOS PAC ID: 7012062235 Enrollment ID: O20090918000240 |
Mailing Address | Practice Location Address |
---|---|
Charlotte Marie Andersen, MD Po Box 143, Badger, SD 57214 Ph: (605) 983-5087 | Charlotte Marie Andersen, MD 510 4th Street S, Fargo, ND 58107 Ph: (701) 476-7200 |
Susan L Scarberry, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 700 1st Ave S, Fargo, ND 58103 Phone: 701-234-4036 Fax: 701-234-4160 | |
Dr. Lawana Marie Burtnett, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 510 4th St S, Fargo, ND 58103 Phone: 701-476-7200 | |
Dr. Ravinda Samaraweera, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 700 1st Ave S, Fargo, ND 58103 Phone: 701-234-4036 Fax: 701-234-4160 | |
Dr. Timothy T Vo, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2624 9th Ave S, Southeast Human Service Center, Fargo, ND 58103 Phone: 701-298-4500 Fax: 701-298-4400 | |
Karis Antonia Stenback Irving, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2101 Elm St Ne, Fargo, ND 58102 Phone: 615-918-0639 Fax: 612-749-3990 | |
Amna Masood, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 736 Broadway N, Fargo, ND 58102 Phone: 701-234-2000 Fax: 701-234-2345 |