Dr Thomas J Matzke, | |
4656 40th Ave S, Fargo, ND 58104-4397 | |
(701) 234-8860 | |
Not Available |
Full Name | Dr Thomas J Matzke |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 23 Years |
Location | 4656 40th Ave S, 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 |
---|---|---|---|
1639121304 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 45261 (Minnesota) | Secondary |
207N00000X | Dermatology | 10119 (North Dakota) | 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 |
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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 Thomas J Matzke, 4656 40th Ave S, Fargo, ND 58104-4397 Ph: (701) 234-8860 | Dr Thomas J Matzke, 4656 40th Ave S, Fargo, ND 58104-4397 Ph: (701) 234-8860 |
Dong Kim, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1702 University Dr S, Fargo, ND 58103 Phone: 701-364-3300 | |
Mrs. Rachel C Ness, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3173 43rd Street S Ste A, Fargo, ND 58104 Phone: 701-478-8780 Fax: 701-478-8781 | |
Kimberly Rae Kelly, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1702 University Dr S, Fargo, ND 58103 Phone: 701-364-3300 Fax: 701-364-8906 | |
David B Flach, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 4656 40th Ave S, Fargo, ND 58104 Phone: 701-234-8860 Fax: 701-234-8924 | |
Christopher Ryan Cunningham, MD Dermatology Medicare: Medicare Enrolled Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000 | |
Amanda Beehler, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1702 University Dr S, Fargo, ND 58103 Phone: 701-364-3300 Fax: 701-364-8906 | |
Dr. Joanne Ruth Montgomery, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4656 40th Ave S, Fargo, ND 58104 Phone: 701-234-8860 |