Mickey G Syrquin, DO | |
3000 32nd Ave S, Fargo, ND 58103-6132 | |
(701) 364-8000 | |
(701) 364-8078 |
Full Name | Mickey G Syrquin |
---|---|
Gender | Male |
Speciality | Neurosurgery |
Experience | 38 Years |
Location | 3000 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 |
---|---|---|---|
1346330214 | NPI | - | NPPES |
17651 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | 6722 (North Dakota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Essentia Health | Fargo, ND | Hospital |
Essentia Health St Marys - Detroit Lakes | Detroit lakes, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Innovis Health Llc | 9931298155 | 478 |
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 |
---|---|
Mickey G Syrquin, DO Po Box 6001, Fargo, ND 58108-6001 Ph: (701) 364-8000 | Mickey G Syrquin, DO 3000 32nd Ave S, Fargo, ND 58103-6132 Ph: (701) 364-8000 |
Marcus F Keep, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 700 1st Ave S, Fargo, ND 58103 Phone: 701-234-4036 | |
Dr. Behzad Sabit, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2301 25th St S, Fargo, ND 58103 Phone: 701-234-7400 | |
Tong Yang, MD, PHD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 700 1st Ave S, Fargo, ND 58103 Phone: 701-234-4036 Fax: 701-234-4050 | |
Dr. Steven Jared Broadway, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2829 University Dr S Ste 202, Fargo, ND 58103 Phone: 701-356-7444 Fax: 701-478-0309 | |
Pelagia E Kouloumberis, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-417-2575 | |
Dr. Eunkyung Michelle Bahn, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8000 |