| Dr Lynn M Nyquist, MD | |
|
1301 15th Ave W, Williston, ND 58801-3821 | |
| (701) 774-7470 | |
| (701) 774-7479 |
| Full Name | Dr Lynn M Nyquist |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 1301 15th Ave W, Williston, North Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457315970 | NPI | - | NPPES |
| 02339742 | Medicaid | NY | |
| 1468995 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 225698-1 (New York) | Secondary |
| 207Q00000X | Family Medicine | 14250 (North Dakota) | Primary |
| Entity Name | Mercy Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801928593 PECOS PAC ID: 7416851381 Enrollment ID: O20031230000336 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lynn M Nyquist, MD 1301 15th Ave W, Williston, ND 58801-3821 Ph: (701) 774-7470 | Dr Lynn M Nyquist, MD 1301 15th Ave W, Williston, ND 58801-3821 Ph: (701) 774-7470 |
Mark A Olson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1321 W Dakota Pkwy, Williston, ND 58801 Phone: 701-572-7711 Fax: 701-572-2283 | |
William J Brunsman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1102 Main, Williston, ND 58801 Phone: 701-572-7711 Fax: 701-572-2283 | |
James A Kennedy, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1321 W Dakota Pkwy, Williston, ND 58801 Phone: 701-572-7711 Fax: 701-572-2283 | |
William E Code, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1102 Main, Williston, ND 58801 Phone: 701-572-7711 Fax: 701-572-2283 | |
Brittany Bertsch, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1321 W Dakota Pkwy, Williston, ND 58801 Phone: 701-418-8000 | |
Ryan M Siewert, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1321 W Dakota Pkwy, Williston, ND 58801 Phone: 701-572-7711 Fax: 701-572-2283 |