Dr Mark Domaas, DPM | |
4450 31st Ave S, Ste 102, Fargo, ND 58104-4557 | |
(701) 566-8721 | |
(701) 205-4593 |
Full Name | Dr Mark Domaas |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 11 Years |
Location | 4450 31st Ave 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 |
---|---|---|---|
1265845010 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 016005716 (Illinois) | Secondary |
213E00000X | Podiatrist | 82 (North Dakota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mt Sinai Hospital Medical Center | Chicago, IL | Hospital |
Holy Cross Hospital | Chicago, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mount Sinai Community Foundation | 5991600405 | 207 |
Provider Name | Mount Sinai Community Foundation |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1376715896 PECOS PAC ID: 5991600405 Enrollment ID: O20040202001032 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark Domaas, DPM 4450 31st Ave S Ste 102, Fargo, ND 58104-4557 Ph: (701) 561-3312 | Dr Mark Domaas, DPM 4450 31st Ave S, Ste 102, Fargo, ND 58104-4557 Ph: (701) 566-8721 |
Robert Renschler, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1702 South University Drive, Eh South University Clinic, Fargo, ND 58103 Phone: 701-364-3300 Fax: 701-364-8906 | |
Dr. Ryan Jameson, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1720 University Dr S Fl 4b, Fargo, ND 58103 Phone: 701-417-4335 | |
A Foot Doctor, Pllc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2631 12th Ave S, Fargo, ND 58103 Phone: 701-232-0900 | |
Timothy P Uglem, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2400 32nd Ave S, Fargo, ND 58103 Phone: 701-234-8770 Fax: 701-234-8779 | |
John Paul Naughton, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2400 32nd Ave S, Fargo, ND 58103 Phone: 701-234-2000 Fax: 701-234-8803 | |
Brad C Anderson, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2400 32nd Ave S, Fargo, ND 58103 Phone: 701-234-8720 Fax: 701-234-8779 |