Mr Tom L Baumgartner Jr, MPT | |
4450 31st Ave S Ste 104, Fargo, ND 58104-4557 | |
(701) 451-9417 | |
(701) 298-0066 |
Full Name | Mr Tom L Baumgartner Jr |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 28 Years |
Location | 4450 31st Ave S Ste 104, 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 |
---|---|---|---|
1215908876 | NPI | - | NPPES |
51317 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 5808 (Minnesota) | Secondary |
208100000X | Physical Medicine & Rehabilitation | 1022 (North Dakota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Professional Rehabilitation Center Inc | 5193784080 | 10 |
Entity Name | Professional Rehabilitation Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215014105 PECOS PAC ID: 5193784080 Enrollment ID: O20041006001028 |
Mailing Address | Practice Location Address |
---|---|
Mr Tom L Baumgartner Jr, MPT 4450 31st Ave S Ste 104, Fargo, ND 58104-4557 Ph: (701) 451-9417 | Mr Tom L Baumgartner Jr, MPT 4450 31st Ave S Ste 104, Fargo, ND 58104-4557 Ph: (701) 451-9417 |
Bangalore S Vijayalakshmi, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1702 University Dr S, Fargo, ND 58103 Phone: 701-364-3300 Fax: 701-364-8906 | |
Marie L Brekken, PA-C Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1720 University Dr S, Fargo, ND 58103 Phone: 701-280-4375 Fax: 701-461-5764 | |
Nina Magdalena Robinson, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1301 Centennial Blvd, Fargo, ND 58102 Phone: 612-708-7434 | |
William N Klava, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2203 Fax: 701-234-2899 | |
Dennis G Sollom, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1702 University Dr S, Fargo, ND 58103 Phone: 701-364-3300 Fax: 701-364-8906 | |
Dr. Kenny Chantasi, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000 |