| David W Wilcox, MD | |
|
1300 Anne St Nw, Bemidji, MN 56601-5103 | |
| (218) 333-5000 | |
| Not Available |
| Full Name | David W Wilcox |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1300 Anne St Nw, Bemidji, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124040712 | NPI | - | NPPES |
| 669388100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 31971 (Minnesota) | Primary |
| Entity Name | Sanford Health Of Northern Minnesota |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770849697 PECOS PAC ID: 5597725168 Enrollment ID: O20041025000442 |
| Mailing Address | Practice Location Address |
|---|---|
| David W Wilcox, MD Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () - | David W Wilcox, MD 1300 Anne St Nw, Bemidji, MN 56601-5103 Ph: (218) 333-5000 |
Brian Paul Livermore, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 619 5th St Nw, Bemidji, MN 56601 Phone: 218-751-4144 Fax: 218-751-3545 | |
Steven J Quamme, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1233 34th St Nw, Bemidji, MN 56601 Phone: 218-333-5180 Fax: 218-333-5360 | |
James Braunwarth, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 Anne St Nw, Bemidji, MN 56601 Phone: 218-333-5000 | |
Jill Olson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1611 Anne St Nw, Bemidji, MN 56601 Phone: 218-333-5000 | |
William G Dicks, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1611 Anne St Nw, Bemidji, MN 56601 Phone: 218-333-5111 | |
Hannah Christine Hoven, NP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1611 Anne St Nw, Bemidji, MN 56601 Phone: 218-333-5000 |