Dr Ray Fontenot, MD | |
101 3rd Ave Sw, Minot, ND 58701-3880 | |
(701) 857-5986 | |
(701) 857-5029 |
Full Name | Dr Ray Fontenot |
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Gender | Male |
Speciality | Otolaryngology |
Location | 101 3rd Ave Sw, Minot, 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 |
---|---|---|---|
1003881558 | NPI | - | NPPES |
128721103 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 17541 (North Dakota) | Secondary |
207Y00000X | Otolaryngology | PT17541 (North Dakota) | Secondary |
207Y00000X | Otolaryngology | H1081 (Texas) | Primary |
Entity Name | Southeast Texas Ear, Nose & Throat, Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962477406 PECOS PAC ID: 8426063736 Enrollment ID: O20060208000093 |
Mailing Address | Practice Location Address |
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Dr Ray Fontenot, MD 101 3rd Ave Sw, Minot, ND 58701-3880 Ph: () - | Dr Ray Fontenot, MD 101 3rd Ave Sw, Minot, ND 58701-3880 Ph: (701) 857-5986 |
James T Love, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 101 3rd Ave Sw, Minot, ND 58701 Phone: 701-857-5986 Fax: 701-857-5029 | |
Dr. Robert L Fischer, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 101 3rd Ave Sw, Minot, ND 58701 Phone: 701-857-5986 | |
Stephanie Rae Velimirovich, FNP Otolaryngology Medicare: Medicare Enrolled Practice Location: 2305 37th Ave Sw Ste 502, Minot, ND 58701 Phone: 701-418-7530 | |
Robert G Thomas, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2305 37th Ave Sw, Minot, ND 58701 Phone: 701-857-5000 |