Mr Kinsey Bjorn Nelson, MD | |
1800 21st Ave S, Fargo, ND 58103-5759 | |
(701) 365-8700 | |
(701) 365-8701 |
Full Name | Mr Kinsey Bjorn Nelson |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1800 21st 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 |
---|---|---|---|
1427276260 | NPI | - | NPPES |
16281 | Medicaid | ND | |
1427276260 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 12048 (North Dakota) | Primary |
207Q00000X | Family Medicine | 51215 (Minnesota) | Secondary |
207Q00000X | Family Medicine | PT 12048 (North Dakota) | Secondary |
Entity Name | Catalyst Medical Center Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043378268 PECOS PAC ID: 5395776967 Enrollment ID: O20050823000867 |
Mailing Address | Practice Location Address |
---|---|
Mr Kinsey Bjorn Nelson, MD 1800 21st Ave S, Fargo, ND 58103-5759 Ph: (701) 365-8700 | Mr Kinsey Bjorn Nelson, MD 1800 21st Ave S, Fargo, ND 58103-5759 Ph: (701) 365-8700 |
Dr. Michelle Renae Bradley, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4110 51st Ave S, Fargo, ND 58104 Phone: 701-364-3100 | |
Mary M. Nybakken, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-417-2575 Fax: 701-417-2535 | |
Naomi Schuldt, DNP, APRN, FNP-C Family Medicine Medicare: Medicare Enrolled Practice Location: 2400 32nd Ave S, Fargo, ND 58103 Phone: 701-234-2000 | |
Randall A Kenninger, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 32nd Ave S, Fargo, ND 58103 Phone: 701-234-8830 Fax: 702-234-8950 | |
Hadeer Saleh Eltahan, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 737 Broadway N, Fargo, ND 58102 Phone: 701-234-6076 Fax: 701-234-7230 | |
Megan Harrington, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000 | |
Andrea Leigh Nellermoe Kaster, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000 |