Mark Wade Rodacker, MD | |
1200 S Columbia Rd - Altru Hospital, Grand Forks, ND 58201 | |
(701) 780-1561 | |
Not Available |
Full Name | Mark Wade Rodacker |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 28 Years |
Location | 1200 S Columbia Rd - Altru Hospital, Grand Forks, 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 |
---|---|---|---|
1437261724 | NPI | - | NPPES |
12927 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0105X | Pathology - Clinical Pathology/laboratory Medicine | 9611 (North Dakota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sanford Medical Center Bismarck | Bismarck, ND | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sanford Bismarck | 9739098575 | 457 |
Entity Name | Sanford Bismarck |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811941172 PECOS PAC ID: 9739098575 Enrollment ID: O20031105000403 |
Mailing Address | Practice Location Address |
---|---|
Mark Wade Rodacker, MD 2401 Demers Ave, Grand Forks, ND 58201 Ph: (701) 780-1891 | Mark Wade Rodacker, MD 1200 S Columbia Rd - Altru Hospital, Grand Forks, ND 58201 Ph: (701) 780-1561 |
Mary Ann Sens, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1301 N Columbia Rd, Grand Forks, ND 58202 Phone: 701-777-2561 | |
Dr. Shifteh Vahidi, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1200 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-5000 Fax: 701-780-4477 | |
Heidi Ann Jess, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1200 S Columbia Rd- Altru Hospital, Grand Forks, ND 58201 Phone: 701-780-1561 Fax: 530-891-0134 | |
Leslie A Torgerson, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1200 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-5000 | |
Dr. Mark Alan Koponen, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 501 N Columbia Rd Stop 9037, Department Of Pathology, Grand Forks, ND 58203 Phone: 701-777-6172 Fax: 701-777-3108 | |
Kevin Tyler, DO Pathology Medicare: Accepting Medicare Assignments Practice Location: 1200 S. Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-6000 | |
Laura A Raymond, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1200 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-5000 |