Ms Tracie Marie Mallberg- Sylvester, MD | |
1701 38th St S Ste 101, Fargo, ND 58103-4499 | |
(701) 356-1500 | |
(701) 356-1596 |
Full Name | Ms Tracie Marie Mallberg- Sylvester |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 26 Years |
Location | 1701 38th St S Ste 101, Fargo, North Dakota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871502740 | NPI | - | NPPES |
490K2MA | Other | MN | BLUE CROSS BLUE SHIELD |
156629600 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 46245 (Minnesota) | Secondary |
207Q00000X | Family Medicine | 9395 (North Dakota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Hospice Of Red River Valley | Fargo, ND | Hospice |
Baptist Health Care Center | Bismarck, ND | Nursing home |
St Gabriel's Community | Bismarck, ND | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Red River Valley Health Care Pc | 8022340637 | 7 |
Red River Valley Health Care Pc | 8022340637 | 7 |
Entity Name | Hospice Of The Red River Valley |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538253646 PECOS PAC ID: 2264343003 Enrollment ID: O20161205000104 |
Entity Name | Red River Valley Health Care Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053870253 PECOS PAC ID: 8022340637 Enrollment ID: O20200211001659 |
Mailing Address | Practice Location Address |
---|---|
Ms Tracie Marie Mallberg- Sylvester, MD 1701 38th St S Ste 101, Fargo, ND 58103-4499 Ph: (701) 356-1500 | Ms Tracie Marie Mallberg- Sylvester, MD 1701 38th St S Ste 101, Fargo, ND 58103-4499 Ph: (701) 356-1500 |
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 |