Dr Olatubosun Fashoro, MD | |
323 S Minnesota St, Crookston, MN 56716-1601 | |
(218) 281-9603 | |
(218) 281-9461 |
Full Name | Dr Olatubosun Fashoro |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 32 Years |
Location | 323 S Minnesota St, Crookston, Minnesota |
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 |
---|---|---|---|
1700823598 | NPI | - | NPPES |
P00406999 | Other | RAILROAD MEDICARE | |
28040 | Other | BCBS ND | |
946L3FA | Other | MN | BCBS MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 9436 (North Dakota) | Secondary |
207R00000X | Internal Medicine | 49513 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Riverview Hospital | Crookston, MN | Hospital |
Altru Hospital | Grand forks, ND | Hospital |
Villa St Vincent | Crookston, MN | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Riverview Healthcare Association | 7810806718 | 42 |
Entity Name | Riverview Healthcare Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811918436 PECOS PAC ID: 7810806718 Enrollment ID: O20040128000040 |
Mailing Address | Practice Location Address |
---|---|
Dr Olatubosun Fashoro, MD 323 S Minnesota St, Crookston, MN 56716-1601 Ph: (218) 281-9603 | Dr Olatubosun Fashoro, MD 323 S Minnesota St, Crookston, MN 56716-1601 Ph: (218) 281-9603 |
Sherine Talaat, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 323 S Minnesota St, Crookston, MN 56716 Phone: 218-281-9200 Fax: 218-281-9590 | |
Theodore S Olson, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 400 S Minnesota St, Crookston, MN 56716 Phone: 218-281-9100 | |
James Dean Brosseau, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 400 S Minnesota St - Altru Clinic/crookston, Crookston, MN 56716 Phone: 218-281-9100 | |
David Fernando Frugone Larrea, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 South Minnesota Street, Crookston, MN 56716 Phone: 218-281-9100 |