David J Glatt, MD | |
2400 32nd Ave S, Fargo, ND 58103-5800 | |
(701) 234-8330 | |
(701) 234-3672 |
Full Name | David J Glatt |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 2400 32nd Ave 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 |
---|---|---|---|
1467489039 | NPI | - | NPPES |
167588500 | Medicaid | MN | |
HP10483 | Other | HEALTHPARNTERS | |
12348 | Medicaid | ND | |
1897 | Other | NDBC | |
0121003 | Other | MEDICA | |
90792GL | Other | MNBC | |
896133 | Other | PREFRRED ONE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 28271 (Minnesota) | Secondary |
207Q00000X | Family Medicine | 3775 (North Dakota) | Primary |
Entity Name | Sanford Clinic North |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942241351 PECOS PAC ID: 4284546151 Enrollment ID: O20031112000221 |
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 |
Mailing Address | Practice Location Address |
---|---|
David J Glatt, MD 2400 32nd Ave S, Fargo, ND 58103-5800 Ph: (701) 234-8330 | David J Glatt, MD 2400 32nd Ave S, Fargo, ND 58103-5800 Ph: (701) 234-8330 |
Dr. Michelle Renae Bradley, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4110 51st Ave S, Fargo, ND 58104 Phone: 701-364-3100 | |
Mary M. Nybakken, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-417-2575 Fax: 701-417-2535 | |
Naomi Schuldt, DNP, APRN, FNP-C Family Medicine Medicare: Medicare Enrolled Practice Location: 2400 32nd Ave S, Fargo, ND 58103 Phone: 701-234-2000 | |
Randall A Kenninger, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 32nd Ave S, Fargo, ND 58103 Phone: 701-234-8830 Fax: 702-234-8950 | |
Hadeer Saleh Eltahan, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 737 Broadway N, Fargo, ND 58102 Phone: 701-234-6076 Fax: 701-234-7230 | |
Megan Harrington, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000 | |
Andrea Leigh Nellermoe Kaster, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000 |