Dr Elhassan I Soultan, MD - Medicare Internal Medicine in Fargo, ND

Dr Elhassan I Soultan, MD is a medicare enrolled "Internal Medicine - Geriatric Medicine" physician in Fargo, North Dakota. His current practice location is 2400 32nd Avenue S, Fargo, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 734-2000.

Dr Elhassan I Soultan is licensed to practice in North Dakota (license number RL15662) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1659937373.

Contact Information

Dr Elhassan I Soultan, MD
2400 32nd Avenue S,
Fargo, ND 58103
(701) 734-2000
Not Available



Physician's Profile

Full NameDr Elhassan I Soultan
GenderMale
SpecialityInternal Medicine - Geriatric Medicine
Location2400 32nd Avenue S, Fargo, North Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1659937373
  • Provider Enumeration Date: 05/17/2019
  • Last Update Date: 05/17/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 8729404744
  • Enrollment ID: I20200820001086

Medical Identifiers

Medical identifiers for Dr Elhassan I Soultan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659937373NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0300XInternal Medicine - Geriatric Medicine RL15662 (North Dakota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Elhassan I Soultan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Elhassan I Soultan, MD
1301 N Columbia Rd Stop 9037,
Grand Forks, ND 58202-9037

Ph: (701) 777-6936
Dr Elhassan I Soultan, MD
2400 32nd Avenue S,
Fargo, ND 58103

Ph: (701) 734-2000

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Internal Medicine Doctors in Fargo, ND

Dr. Keri Lynn Crewson, M.D.
Geriatric Medicine
Medicare: Accepting Medicare Assignments
Practice Location: Sanford Health, 801 Broadway North, Fargo, ND 58122
Phone: 701-234-5933    Fax: 701-234-7230
Abdallah M Mansour, MD
Geriatric Medicine
Medicare: Medicare Enrolled
Practice Location: 3000 32nd Ave S, Fargo, ND 58103
Phone: 701-364-8900    
Derek Anderson, DO
Geriatric Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 5225 23rd Ave S, Fargo, ND 58104
Phone: 701-234-5933    
Gerald G Gross, MD
Geriatric Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 820 4th St N, Fargo, ND 58102
Phone: 701-234-6161    
Paul James Carson, MD
Geriatric 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
Geriatric 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.
Geriatric Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 801 Broadway N, Fargo, ND 58102
Phone: 701-234-2000    

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