Dr Brian Jacob Grondahl, DO in Fargo, ND - Medicare Cardiovascular Disease (cardiology)

Dr Brian Jacob Grondahl, DO is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Fargo, North Dakota. He went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 2013 and has 11 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Innovis Health Llc, St Marys Regional Health Center and his current practice location is 3000 32nd Ave S, Fargo, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 364-8000.

Dr Brian Jacob Grondahl is licensed to practice in North Dakota (license number 17241) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1750710554.

Contact Information

	Dr Brian Jacob Grondahl, DO
	3000 32nd Ave S, Fargo, ND 58103-6132
	(701) 364-8000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Brian Jacob Grondahl
Gender	Male
Speciality	Cardiovascular Disease (cardiology)
Experience	11 Years
Location	3000 32nd Ave S, Fargo, 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.

Medical Education and Training:

Dr Brian Jacob Grondahl attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 2013

NPI Data:

NPI Number: 1750710554
Provider Enumeration Date: 11/02/2013
Last Update Date: 06/07/2021

Medicare PECOS Information:

PECOS PAC ID: 5890046676
Enrollment ID: I20210614003201

Medical Identifiers

Medical identifiers for Dr Brian Jacob Grondahl such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750710554	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	5101021290 (Michigan)	Secondary
207RC0000X	Internal Medicine - Cardiovascular Disease	68988 (Minnesota)	Secondary
207RC0000X	Internal Medicine - Cardiovascular Disease	17241 (North Dakota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Essentia Health	Fargo, ND	Hospital
Essentia Health St Marys - Detroit Lakes	Detroit lakes, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Innovis Health Llc	9931298155	478
St Marys Regional Health Center	2062326820	159

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Brian Jacob Grondahl allows following entities to bill medicare on his behalf.

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

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Brian Jacob Grondahl is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Brian Jacob Grondahl, DO 1702 University Dr S, Fargo, ND 58103-4940 Ph: () -	Dr Brian Jacob Grondahl, DO 3000 32nd Ave S, Fargo, ND 58103-6132 Ph: (701) 364-8000

Reviews and Comments

Internal Medicine Doctors in Fargo, ND

Abdallah M Mansour, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8900
Derek Anderson, DO Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-234-5933
Gerald G Gross, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 820 4th St N, Fargo, ND 58102 Phone: 701-234-6161
Paul James Carson, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-4811 Fax: 701-234-6979
Howard L Russell, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 820 N 4th St, Fargo, ND 58122 Phone: 701-234-6161 Fax: 701-234-3861
Dr. Emuejevoke Joseph Okoh, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000
Dr. Patrick J Hughes, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 201-234-2000

Dr Brian Jacob Grondahl, DO - Medicare Cardiovascular Disease (cardiology) in Fargo, ND