Dr Shanon Mark Sell, DO | |
1401 13th Ave E, West Fargo, ND 58078-3468 | |
(701) 364-5751 | |
(701) 364-5722 |
Full Name | Dr Shanon Mark Sell |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 32 Years |
Location | 1401 13th Ave E, West 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 |
---|---|---|---|
1609895879 | NPI | - | NPPES |
812913400 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 41077 (Minnesota) | Secondary |
207Q00000X | Family Medicine | 6693 (North Dakota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Essentia Health | Fargo, ND | Hospital |
Essentia Health St Marys - Detroit Lakes | Detroit lakes, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Innovis Health Llc | 9931298155 | 478 |
St Marys Regional Health Center | 2062326820 | 159 |
Entity Name | Sanford Bismarck |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811941172 PECOS PAC ID: 9739098575 Enrollment ID: O20031105000403 |
Entity Name | Mercy Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801928593 PECOS PAC ID: 7416851381 Enrollment ID: O20031230000336 |
Entity Name | Innovis Health Llc |
---|---|
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 |
---|---|
Dr Shanon Mark Sell, DO Po Box 6001, Fargo, ND 58108-6001 Ph: (701) 364-5751 | Dr Shanon Mark Sell, DO 1401 13th Ave E, West Fargo, ND 58078-3468 Ph: (701) 364-5751 |
Craig F Kuhlmann, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1401 13th Ave E, West Fargo, ND 58078 Phone: 701-364-5751 Fax: 701-364-5750 | |
Richard T Vetter, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1401 13th Ave E, West Fargo, ND 58078 Phone: 701-364-5751 Fax: 701-364-5750 | |
Anne E Kidder, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1401 13th Ave E, West Fargo, ND 58078 Phone: 701-364-5751 Fax: 701-364-5750 | |
Kristin Schmidt, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3989 4th St E # 2, West Fargo, ND 58078 Phone: 701-532-1215 | |
Ronald J Borowicz, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1220 Sheyenne St, West Fargo, ND 58078 Phone: 701-234-4446 Fax: 701-282-4455 | |
Rory Ratzlaff, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1220 Sheyenne St, West Fargo, ND 58078 Phone: 701-234-4445 Fax: 701-234-4385 |