Mazen Kherallah, MD - Medicare Critical Care (intensivists) in Fargo, ND

Mazen Kherallah, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Fargo, North Dakota. He graduated from medical school in 1987 and has 37 years of diverse experience with area of expertise as Critical Care (intensivists). He is a member of the group practice Sanford Medical Center Fargo, Critical Care Physicians Of Illinois Llc, Landmark Hospital Of Joplin Llc and his current practice location is 801 Broadway N, Fargo, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 234-7200.

Mazen Kherallah is licensed to practice in North Dakota (license number 9502) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1922025691.

Contact Information

Mazen Kherallah, MD
801 Broadway N,
Fargo, ND 58102-3641
(701) 234-7200
(701) 234-7225



Physician's Profile

Full NameMazen Kherallah
GenderMale
SpecialityCritical Care (intensivists)
Experience37 Years
Location801 Broadway N, Fargo, North Dakota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mazen Kherallah graduated from medical school in 1987
  NPI Data:
  • NPI Number: 1922025691
  • Provider Enumeration Date: 07/17/2006
  • Last Update Date: 02/14/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6406905322
  • Enrollment ID: I20110208001056

Medical Identifiers

Medical identifiers for Mazen Kherallah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922025691NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0200XInternal Medicine - Critical Care Medicine 9502 (North Dakota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Franciscan Health Olympia Fields & Chicago HeightsOlympia fields, ILHospital
Sanford Medical Center FargoFargo, NDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sanford Medical Center Fargo84269678031094
Critical Care Physicians Of Illinois Llc701217929443
Landmark Hospital Of Joplin Llc56988708228

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mazen Kherallah allows following entities to bill medicare on his behalf.
Entity NameSanford Medical Center Fargo
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184917924
PECOS PAC ID: 8426967803
Enrollment ID: O20110331000495

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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. Mazen Kherallah 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
Mazen Kherallah, MD
801 Broadway N,
Fargo, ND 58102-3641

Ph: (701) 234-7200
Mazen Kherallah, MD
801 Broadway N,
Fargo, ND 58102-3641

Ph: (701) 234-7200

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Internal Medicine Doctors in Fargo, ND

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

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