Chad J Brown - Medicare Primary Care in Fargo, ND

Chad J Brown is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in Fargo, North Dakota. The current practice location for Chad J Brown is 4160 24th Ave S, Ste 102, Fargo, North Dakota. For appointments, you can reach them via phone at (701) 941-0175. The mailing address for Chad J Brown is 4160 24th Ave S, Ste 102, Fargo, North Dakota and phone number is (701) 941-0175.

Chad J Brown is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1922693308. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (701) 941-0175.

Contact Information

Chad J Brown
4160 24th Ave S
Ste 102
Fargo
ND 58104-9038
(701) 941-0175
(701) 941-3001

Primary Care Clinic Profile

Full NameChad J Brown
SpecialityClinic/Center
Location4160 24th Ave S, Fargo, North Dakota
Authorized Official Name and PositionChad J Brown (OWNER)
Authorized Official Contact7019410175
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Chad J Brown
4160 24th Ave S
Ste 102
Fargo
ND 58104-9038

Ph: (701) 941-0175
Chad J Brown
4160 24th Ave S
Ste 102
Fargo
ND 58104-9038

Ph: (701) 941-0175

NPI Details:

NPI Number1922693308
Provider Enumeration Date03/07/2021
Last Update Date02/12/2024

Medicare PECOS Information:

Medicare PECOS PAC ID9638575988
Medicare Enrollment IDO20210910002865

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Medical Identifiers

Medical identifiers for Chad J Brown such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922693308NPI-NPPES
1482834MedicaidND

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM1300XClinic/center - Multi-specialty (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Chad J Brown acts as a billing entity for following providers:
Provider NameChad J Brown
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1710121116
PECOS PAC ID: 9032305149
Enrollment ID: I20101130001378

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