Kelsey Ann Wiseman, - Medicare Family Practice in Hazen, ND

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Kelsey Ann Wiseman, is a medicare enrolled "Family Medicine" physician in Hazen, North Dakota. She went to University Of North Dakota School Of Medicine and graduated in 2018 and has 8 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Coal Country Community Health Center and her current practice location is 510 8th Ave Ne, Hazen, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 873-4445.

Kelsey Ann Wiseman is licensed to practice in North Dakota (license number 17267) 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 1770072837.

Contact Information

Kelsey Ann Wiseman,
510 8th Ave Ne,
Hazen, ND 58545-4637
(701) 873-4445
Not Available

Map and Direction




Physician's Profile

Full NameKelsey Ann Wiseman
GenderFemale
SpecialityFamily Practice
Experience8 Years
Location510 8th Ave Ne, Hazen, North Dakota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelsey Ann Wiseman attended and graduated from University Of North Dakota School Of Medicine in 2018
  NPI Data:
  • NPI Number: 1770072837
  • Provider Enumeration Date: 05/04/2018
  • Last Update Date: 12/22/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1456756881
  • Enrollment ID: I20210824002093

Medical Identifiers

Medical identifiers for Kelsey Ann Wiseman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770072837NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 17267 (North Dakota)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sakakawea Medical Center HospiceHazen, NDHospice
Sakakawea Medical Center - CahHazen, NDHospital
Sanford Medical Center BismarckBismarck, NDHospital
Knife River Care CenterBeulah, NDNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Coal Country Community Health Center943604289218

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelsey Ann Wiseman allows following entities to bill medicare on her behalf.
Entity NameCoal Country Community Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942288329
PECOS PAC ID: 9436042892
Enrollment ID: O20040317001173
Entity NameHazen Memorial Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356315220
PECOS PAC ID: 3779558366
Enrollment ID: O20040827000450

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. Kelsey Ann Wiseman 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 AddressPractice Location Address
Kelsey Ann Wiseman,
617 4th St Ne,
Hazen, ND 58545-4606

Ph: (701) 648-9649		Kelsey Ann Wiseman,
510 8th Ave Ne,
Hazen, ND 58545-4637

Ph: (701) 873-4445

Reviews and Comments


Family Medicine Doctors in Hazen, ND

Ann Onette Ruffo, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 510 8th Ave Ne, Hazen, ND 58545
Phone: 701-748-2256    Fax: 701-873-4199
Rodney L Zimmerman, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 510 8th Ave Ne, Hazen, ND 58545
Phone: 701-748-2256    Fax: 701-639-4709
Dr. Michael Blacksmith, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 517 8th Ave Ne, Hazen, ND 58545
Phone: 701-748-2256    Fax: 701-748-2257

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.