Steven Glenn Clemenson, MD | |
4450 31st Ave S Ste 102, Fargo, ND 58104-4557 | |
(701) 280-2033 | |
(701) 232-5578 |
Full Name | Steven Glenn Clemenson |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 41 Years |
Location | 4450 31st Ave S Ste 102, 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 |
---|---|---|---|
1174541874 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 29533 (Minnesota) | Secondary |
207R00000X | Internal Medicine | 60970 (Arizona) | Primary |
207R00000X | Internal Medicine | 9791 (North Dakota) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Havasu Regional Medical Center | Lake havasu city, AZ | Hospital |
La Paz Regional Hospital | Parker, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Raghav Llc | 2466709274 | 12 |
Entity Name | Kingman Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265423917 PECOS PAC ID: 6901791367 Enrollment ID: O20040216001173 |
Entity Name | Raghav Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598125791 PECOS PAC ID: 2466709274 Enrollment ID: O20180725002648 |
Mailing Address | Practice Location Address |
---|---|
Steven Glenn Clemenson, MD 2226 Hualapai Mountain Rd, Ste 101, Kingman, AZ 86401-8374 Ph: (701) 280-2033 | Steven Glenn Clemenson, MD 4450 31st Ave S Ste 102, Fargo, ND 58104-4557 Ph: (701) 280-2033 |
Abdallah M Mansour, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8900 | |
Derek Anderson, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-234-5933 | |
Gerald G Gross, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 820 4th St N, Fargo, ND 58102 Phone: 701-234-6161 | |
Paul James Carson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-4811 Fax: 701-234-6979 | |
Howard L Russell, MD Internal Medicine 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. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000 | |
Dr. Patrick J Hughes, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 201-234-2000 |