Dr Andrew John Stasko, MD | |
332 2nd Ave N, Wahpeton, ND 58075-4528 | |
(701) 642-7000 | |
(701) 642-7055 |
Full Name | Dr Andrew John Stasko |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 332 2nd Ave N, Wahpeton, 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 |
---|---|---|---|
1265516439 | NPI | - | NPPES |
30107 | Other | NC | ND BCBS |
511208700 | Medicaid | MD | |
14398 | Medicaid | ND | |
248487100 | Medicaid | MN | |
1052517 | Other | PREFERREDONE | |
PENDING | Other | MN BCBS | |
HP84016 | Other | HEALTHPARTNERS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | D0057295 (Maryland) | Secondary |
208600000X | Surgery | 10708 (North Dakota) | Primary |
Entity Name | Sanford Clinic North |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548532468 PECOS PAC ID: 4284546151 Enrollment ID: O20031209000264 |
Entity Name | Lake Region Healthcare Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093713372 PECOS PAC ID: 3971565334 Enrollment ID: O20060109000246 |
Entity Name | Ccm Health |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1720086028 PECOS PAC ID: 4284539453 Enrollment ID: O20060504000810 |
Mailing Address | Practice Location Address |
---|---|
Dr Andrew John Stasko, MD 332 2nd Ave N, Wahpeton, ND 58075-4528 Ph: (701) 642-7000 | Dr Andrew John Stasko, MD 332 2nd Ave N, Wahpeton, ND 58075-4528 Ph: (701) 642-7000 |
Paul S Wasemiller, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 275 11th St S, Wahpeton, ND 58075 Phone: 701-642-2000 Fax: 701-671-4106 | |
Thomas J Mohs, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 275 11th St S, Wahpeton, ND 58075 Phone: 701-642-2000 Fax: 701-671-4106 | |
Dr. Jerome Matthew Guanciale, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 332 2nd Ave N, Wahpeton, ND 58075 Phone: 701-642-7000 Fax: 701-642-7055 |