Matthew Gerde, | |
3000 32nd Ave S, Fargo, ND 58103-6132 | |
(701) 364-8000 | |
(701) 364-8078 |
Full Name | Matthew Gerde |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 3000 32nd Ave S, Fargo, North Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699062240 | NPI | - | NPPES |
1457356 | Medicaid | ND | |
13190 | Other | ND | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 4301098614 (Michigan) | Secondary |
207P00000X | Emergency Medicine | 13190 (North Dakota) | Primary |
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 |
Mailing Address | Practice Location Address |
---|---|
Matthew Gerde, Po Box 6001, Fargo, ND 58108-6001 Ph: (701) 364-8000 | Matthew Gerde, 3000 32nd Ave S, Fargo, ND 58103-6132 Ph: (701) 364-8000 |
Daniel Gregory Falvey, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-417-2575 | |
Dr. Kevin Torkelson, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-417-2575 Fax: 701-417-2535 | |
Douglas J Hushka, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-6552 Fax: 701-234-5124 | |
Gregory J Bjerke, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-5123 Fax: 701-234-5124 | |
Paul R Bilstad, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-5121 Fax: 701-234-5124 | |
David C Drage, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-5121 Fax: 701-234-5124 | |
Tony J Hamilton, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8000 Fax: 701-364-8078 |