Dr Kenny Chantasi, DO | |
801 Broadway N, Fargo, ND 58102-3641 | |
(701) 234-2000 | |
Not Available |
Full Name | Dr Kenny Chantasi |
---|---|
Gender | Male |
Speciality | Physical Medicine And Rehabilitation |
Experience | 18 Years |
Location | 801 Broadway N, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427216175 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 259456 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sanford Medical Center Fargo | Fargo, ND | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sanford Medical Center Fargo | 8426967803 | 1085 |
Entity Name | Sanford Clinic North |
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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 |
---|---|
Dr Kenny Chantasi, DO Po Box 5074, Sioux Falls, SD 57117-5074 Ph: (605) 328-6585 | Dr Kenny Chantasi, DO 801 Broadway N, Fargo, ND 58102-3641 Ph: (701) 234-2000 |
Bangalore S Vijayalakshmi, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1702 University Dr S, Fargo, ND 58103 Phone: 701-364-3300 Fax: 701-364-8906 | |
Marie L Brekken, PA-C Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1720 University Dr S, Fargo, ND 58103 Phone: 701-280-4375 Fax: 701-461-5764 | |
Nina Magdalena Robinson, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1301 Centennial Blvd, Fargo, ND 58102 Phone: 612-708-7434 | |
William N Klava, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2203 Fax: 701-234-2899 | |
Mr. Tom L Baumgartner Jr., MPT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 4450 31st Ave S Ste 104, Fargo, ND 58104 Phone: 701-451-9417 Fax: 701-298-0066 | |
Dennis G Sollom, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1702 University Dr S, Fargo, ND 58103 Phone: 701-364-3300 Fax: 701-364-8906 |