Dr Mark Mutuota Gitau, MD | |
820 4th St N, Fargo, ND 58102-4539 | |
(701) 234-6161 | |
Not Available |
Full Name | Dr Mark Mutuota Gitau |
---|---|
Gender | Male |
Speciality | Hematology/oncology |
Experience | 23 Years |
Location | 820 4th St 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 |
---|---|---|---|
1225073661 | NPI | - | NPPES |
15203 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RH0003X | Internal Medicine - Hematology & Oncology | 53892 (Minnesota) | Secondary |
207RX0202X | Internal Medicine - Medical Oncology | 11318 (North Dakota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sanford Medical Center Fargo | Fargo, ND | Hospital |
Perham Health | Perham, MN | Hospital |
Sanford Wheaton Medical Center | Wheaton, MN | Hospital |
Sanford Mayville | Mayville, ND | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sanford Medical Center Fargo | 8426967803 | 1085 |
Sanford Medical Center Fargo | 8426967803 | 1085 |
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 |
---|---|
Dr Mark Mutuota Gitau, MD Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () - | Dr Mark Mutuota Gitau, MD 820 4th St N, Fargo, ND 58102-4539 Ph: (701) 234-6161 |
Abdallah M Mansour, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8900 | |
Derek Anderson, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-234-5933 | |
Gerald G Gross, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 820 4th St N, Fargo, ND 58102 Phone: 701-234-6161 | |
Paul James Carson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-4811 Fax: 701-234-6979 | |
Howard L Russell, MD Internal Medicine 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. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000 | |
Dr. Patrick J Hughes, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 201-234-2000 |