Dr Kurt G Datz, DO | |
2400 32nd Ave S, Fargo, ND 58103-5800 | |
(701) 234-8820 | |
Not Available |
Full Name | Dr Kurt G Datz |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 34 Years |
Location | 2400 32nd 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 |
---|---|---|---|
1720159973 | NPI | - | NPPES |
1457058 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 7639 (North Dakota) | Secondary |
207R00000X | Internal Medicine | 7639 (North Dakota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Southwest Healthcare Services | Bowman, ND | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southwest Healthcare Services | 3173512704 | 6 |
Entity Name | Southwest Healthcare Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023083714 PECOS PAC ID: 3173512704 Enrollment ID: O20041005000745 |
Entity Name | Southwest Healthcare Services |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1477529030 PECOS PAC ID: 3173512704 Enrollment ID: O20061104000689 |
Mailing Address | Practice Location Address |
---|---|
Dr Kurt G Datz, DO 2400 32nd Ave S, Fargo, ND 58103-5800 Ph: (701) 234-8820 | Dr Kurt G Datz, DO 2400 32nd Ave S, Fargo, ND 58103-5800 Ph: (701) 234-8820 |
Abdallah M Mansour, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8900 | |
Derek Anderson, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-234-5933 | |
Gerald G Gross, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 820 4th St N, Fargo, ND 58102 Phone: 701-234-6161 | |
Paul James Carson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-4811 Fax: 701-234-6979 | |
Howard L Russell, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 820 N 4th St, Fargo, ND 58122 Phone: 701-234-6161 Fax: 701-234-3861 | |
Dr. Emuejevoke Joseph Okoh, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000 | |
Dr. Patrick J Hughes, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 201-234-2000 |