| Amber O Vick, MD | |
|
600 Peterson Parkway, Affiliated Community Medical Centers, New London, MN 56273 | |
| (320) 354-2222 | |
| (218) 529-9120 |
| Full Name | Amber O Vick |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 20 Years |
| Location | 600 Peterson Parkway, New London, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972519213 | NPI | - | NPPES |
| 01-25488 | Other | MN | MEDICA |
| 165H7HO | Other | MN | BCBSMN |
| P00442141 | Other | RR MEDICARE PTAN | |
| 985172000 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 48788 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Rice Hospice Program | Willmar, MN | Hospice |
| Carris Health Llc | Willmar, MN | Hospital |
| Glenoaks Senior Living Campus | New london, MN | Nursing home |
| Bethesda | Willmar, MN | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Centracare Clinic Southwest Llc | 8426457946 | 153 |
| Entity Name | Centracare Clinic Southwest Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174106264 PECOS PAC ID: 8426457946 Enrollment ID: O20210602002802 |
| Mailing Address | Practice Location Address |
|---|---|
| Amber O Vick, MD 600 Peterson Parkway, Affiliated Community Medical Centers, New London, MN 56273 Ph: (320) 354-2222 | Amber O Vick, MD 600 Peterson Parkway, Affiliated Community Medical Centers, New London, MN 56273 Ph: (320) 354-2222 |
Kelsie Jean Rustad, PA-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Peterson Pkwy, New London, MN 56273 Phone: 320-444-8287 | |
Mr. Thomas Allen Sult, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7900 Chapin Dr Ne, New London, MN 56273 Phone: 320-347-1212 Fax: 320-347-1200 | |
Dr. Terry M Peterson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 600 Peterson Pkwy, New London, MN 56273 Phone: 320-354-2222 Fax: 320-354-2274 | |
Dr. Richard A Wehseler, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Peterson Pkwy, New London, MN 56273 Phone: 320-354-2222 Fax: 320-354-2274 | |
Dr. Steven J Shelver, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 600 Peterson Pkwy, New London, MN 56273 Phone: 320-354-2222 Fax: 320-354-2274 |