Dr Laurie Annette Somerville, PA is a medicare enrolled "Physician Assistant" provider in Fargo, North Dakota. She graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Sanford Medical Center Fargo and her current practice location is
1720 University Dr S, Fargo, North Dakota. You can reach out to her office (for appointments etc.) via phone at
(701) 280-4140.
Dr Laurie Annette Somerville is licensed to practice in North Dakota (license number PAC0699) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1003913898.
Healthcare Provider's Profile
| Full Name | Dr Laurie Annette Somerville |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 10 Years |
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| Location | 1720 University Dr S, Fargo, North Dakota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Laurie Annette Somerville graduated from medical school in 2014
NPI Data:
- NPI Number: 1003913898
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 6103848619
- Enrollment ID: I20171016003448
Medical Identifiers
Medical identifiers for Dr Laurie Annette Somerville such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003913898 | NPI | - | NPPES |
| 55724Z | Other | FL | MEDICARE PTAN |
| 3815650-00 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | CH 7371 (Florida) | Secondary |
| 363A00000X | Physician Assistant | PA9108339 (Florida) | Secondary |
| 363A00000X | Physician Assistant | PAC0699 (North Dakota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Sanford Medical Center Fargo | 8426967803 | 1094 |
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 Laurie Annette Somerville 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 Address | Practice Location Address |
|---|
Dr Laurie Annette Somerville, PA
1720 University Dr S,
Fargo, ND 58103-4940
Ph: (701) 280-4140 | Dr Laurie Annette Somerville, PA
1720 University Dr S,
Fargo, ND 58103-4940
Ph: (701) 280-4140 |
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