Dr Penny Marie Wilkie, MD | |
10 N River Road, Fort Yates, ND 58538 | |
(701) 854-3831 | |
Not Available |
Full Name | Dr Penny Marie Wilkie |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 10 N River Road, Fort Yates, 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 |
---|---|---|---|
1861557977 | NPI | - | NPPES |
HSZU64ZJSB | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 7405 (North Dakota) | Primary |
Entity Name | Cherokee Nation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780692723 PECOS PAC ID: 5799698742 Enrollment ID: O20031106000628 |
Entity Name | Rosebud Indian Health Service |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194757369 PECOS PAC ID: 6901704055 Enrollment ID: O20031226000337 |
Entity Name | Fort Yates Indian Health Service Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609851039 PECOS PAC ID: 3678462744 Enrollment ID: O20040315001479 |
Mailing Address | Practice Location Address |
---|---|
Dr Penny Marie Wilkie, MD Po Box J, Fort Yates, ND 58538-0527 Ph: (701) 854-3831 | Dr Penny Marie Wilkie, MD 10 N River Road, Fort Yates, ND 58538 Ph: (701) 854-3831 |
Brittany Azure Bearstail, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10 N River Road, Fort Yates, ND 58537 Phone: 701-854-3831 | |
Dr. Tuyet Ngoc Luu, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10 North River Road, Fort Yates, ND 58538 Phone: 701-854-3831 |