Jamie L Fort, MD | |
2355 Highway 36 W Ste 100, Roseville, MN 55113-3905 | |
(651) 292-2000 | |
Not Available |
Full Name | Jamie L Fort |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 18 Years |
Location | 2355 Highway 36 W Ste 100, Roseville, 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 |
---|---|---|---|
1568589083 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 51898-20 (Wisconsin) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 61677 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Allina United Hospital | Saint paul, MN | Hospital |
Westfields Hospital And Clinic | New richmond, WI | Hospital |
Amery Hospital & Clinic | Amery, WI | Hospital |
Ladd Memorial Hospital | Osceola, WI | Hospital |
River Falls Area Hospital | River falls, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Midwest Radiology Pa | 4486568482 | 196 |
Allina Health System | 4587573613 | 3101 |
St. Croix Regional Medical Center | 9335032184 | 147 |
Midwest Radiology Pa | 4486568482 | 196 |
Allina Health System | 4587573613 | 3101 |
Pembina County Memorial Hospital Association | 4789643719 | 108 |
St. Croix Regional Medical Center | 9335032184 | 147 |
Entity Name | Allina Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578507513 PECOS PAC ID: 4587573613 Enrollment ID: O20031218000417 |
Entity Name | Midwest Radiology Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952307175 PECOS PAC ID: 4486568482 Enrollment ID: O20040126000027 |
Entity Name | St. Croix Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043240922 PECOS PAC ID: 9335032184 Enrollment ID: O20040205000217 |
Entity Name | Allina Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407395247 PECOS PAC ID: 4587573613 Enrollment ID: O20221214000269 |
Mailing Address | Practice Location Address |
---|---|
Jamie L Fort, MD 2355 Highway 36 W Ste 100, Roseville, MN 55113-3905 Ph: (651) 292-2000 | Jamie L Fort, MD 2355 Highway 36 W Ste 100, Roseville, MN 55113-3905 Ph: (651) 292-2000 |
Dr. Amanjit Singh Baadh, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2355 Highway 36 W Ste 100, Roseville, MN 55113 Phone: 651-292-0000 | |
Dr. Jonathan P Williams, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2355 Highway 36 W Ste 100, Roseville, MN 55113 Phone: 651-292-2000 | |
Dr. Grant Michael Riesberg, MD Radiology Medicare: Medicare Enrolled Practice Location: 2355 Hwy 36 W., Ste. 100, Roseville, MN 55113 Phone: 651-292-2000 | |
Jorge A Leon, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2355 Highway 36 W, Ste 100, Roseville, MN 55113 Phone: 651-292-2000 | |
John P Knoedler Jr., MD Radiology Medicare: Medicare Enrolled Practice Location: 2355 Highway 36 W, Ste 100, Roseville, MN 55113 Phone: 651-292-2000 | |
Robert John Hosker, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2355 Highway 36 W, Ste 100, Roseville, MN 55113 Phone: 651-292-2000 Fax: 651-681-1140 | |
Jennifer Ashley Knight, MD Radiology Medicare: Medicare Enrolled Practice Location: 2355 Hwy 36 W., Ste. 100, Roseville, MN 55113 Phone: 651-292-2000 |