Suchita Kotnala, MBBS | |
737 Broadway North, Fargo, ND 58122 | |
(701) 234-6076 | |
(701) 234-7230 |
Full Name | Suchita Kotnala |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 11 Years |
Location | 737 Broadway North, 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 |
---|---|---|---|
1558854539 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD201918 (Oregon) | Primary |
207Q00000X | Family Medicine | RL15129 (North Dakota) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Sacred Heart Home Health | Eugene, OR | Home health agency |
Sacred Heart Medical Center - Riverbend | Springfield, OR | Hospital |
Peace Harbor Medical Center | Florence, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Peacehealth Medical Group | 9032023270 | 214 |
Entity Name | Peacehealth Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447207287 PECOS PAC ID: 9032023270 Enrollment ID: O20031113000097 |
Mailing Address | Practice Location Address |
---|---|
Suchita Kotnala, MBBS 4010 Aerial Way, Eugene, OR 97402-9757 Ph: (541) 242-8450 | Suchita Kotnala, MBBS 737 Broadway North, Fargo, ND 58122 Ph: (701) 234-6076 |
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 |