Mamie Hextall, MD in Fargo, ND - Medicare Anesthesiology

Mamie Hextall, MD is a medicare enrolled "Anesthesiology" physician in Fargo, North Dakota. She went to University Of North Dakota School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Anesthesiology. She is a member of the group practice Innovis Health Llc and her current practice location is 3000 32nd Ave S, Fargo, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 364-8000.

Mamie Hextall is licensed to practice in North Dakota (license number 15002) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1235541863.

Contact Information

	Mamie Hextall, MD
	3000 32nd Ave S, Fargo, ND 58103
	(701) 364-8000
	Not Available

Map and Direction

Physician's Profile

Full Name	Mamie Hextall
Gender	Female
Speciality	Anesthesiology
Experience	10 Years
Location	3000 32nd Ave S, Fargo, North Dakota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mamie Hextall attended and graduated from University Of North Dakota School Of Medicine in 2014

NPI Data:

NPI Number: 1235541863
Provider Enumeration Date: 06/02/2014
Last Update Date: 07/23/2018

Medicare PECOS Information:

PECOS PAC ID: 0446477756
Enrollment ID: I20180827002003

Medical Identifiers

Medical identifiers for Mamie Hextall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235541863	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	R-09974 (Iowa)	Secondary
207L00000X	Anesthesiology	15002 (North Dakota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Essentia Health	Fargo, ND	Hospital
Essentia Health St Marys - Detroit Lakes	Detroit lakes, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Innovis Health Llc	9931298155	478

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mamie Hextall allows following entities to bill medicare on her behalf.

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

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mamie Hextall is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mamie Hextall, MD 1702 University Dr S, Fargo, ND 58103-4940 Ph: () -	Mamie Hextall, MD 3000 32nd Ave S, Fargo, ND 58103 Ph: (701) 364-8000

Reviews and Comments

Anesthesiology Doctors in Fargo, ND

Dr. Latif Sean Ougzin, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8000 Fax: 701-364-8078
John V Vinych, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8000 Fax: 701-364-8078
Patrick J. Indergaard, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-6258 Fax: 701-234-7334
Shelby Suzanne Best, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8000
Layne Egan, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-417-2575
Alanna Velo, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 218-205-7365
Dr. Eric Arash Pezhman, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-6355

Mamie Hextall, MD - Medicare Anesthesiology in Fargo, ND