Dr Christopher Anthony Decock, MD | |
3000 32nd Ave S, Fargo, ND 58103 | |
(701) 364-3000 | |
(701) 364-8907 |
Full Name | Dr Christopher Anthony Decock |
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Gender | Male |
Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
Location | 3000 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 |
---|---|---|---|
1720252216 | NPI | - | NPPES |
18298 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | 12911 (North Dakota) | Primary |
Entity Name | Sanford Bismarck |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811941172 PECOS PAC ID: 9739098575 Enrollment ID: O20031105000403 |
Entity Name | Innovis Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215125463 PECOS PAC ID: 9931298155 Enrollment ID: O20071211000158 |
Mailing Address | Practice Location Address |
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Dr Christopher Anthony Decock, MD 1702 University Dr S, Fargo, ND 58103-4940 Ph: () - | Dr Christopher Anthony Decock, MD 3000 32nd Ave S, Fargo, ND 58103 Ph: (701) 364-3000 |
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 | |
Charlotte Marie Andersen, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 510 4th Street S, Fargo, ND 58107 Phone: 701-476-7200 | |
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 |