Praveen Jinnur, MD | |
1702 University Dr S, Fargo, ND 58103-4940 | |
(701) 364-3300 | |
(701) 364-8906 |
Full Name | Praveen Jinnur |
---|---|
Gender | Male |
Speciality | Pulmonary Disease |
Experience | 19 Years |
Location | 1702 University Dr 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 |
---|---|---|---|
1467755165 | NPI | - | NPPES |
ENROLLED | Medicaid | MN | |
ENROLLED | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RS0012X | Internal Medicine - Sleep Medicine | 13606 (North Dakota) | Secondary |
207RP1001X | Internal Medicine - Pulmonary Disease | 13606 (North Dakota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Methodist Fremont Health | Fremont, NE | Hospital |
Saunders Medical Center | Wahoo, NE | Hospital |
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 |
Physicians Clinic Inc | 4880506062 | 505 |
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 |
---|---|
Praveen Jinnur, MD 1702 University Dr S, Fargo, ND 58103-4940 Ph: (701) 364-3300 | Praveen Jinnur, MD 1702 University Dr S, Fargo, ND 58103-4940 Ph: (701) 364-3300 |
Abdallah M Mansour, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8900 | |
Derek Anderson, DO Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-234-5933 | |
Gerald G Gross, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 820 4th St N, Fargo, ND 58102 Phone: 701-234-6161 | |
Paul James Carson, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-4811 Fax: 701-234-6979 | |
Howard L Russell, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 820 N 4th St, Fargo, ND 58122 Phone: 701-234-6161 Fax: 701-234-3861 | |
Dr. Emuejevoke Joseph Okoh, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000 | |
Dr. Patrick J Hughes, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 201-234-2000 |