| Lisa Marie Sanford, NP | |
|
340 N Main St Ste 311, Watford City, ND 58854-7308 | |
| (701) 444-2888 | |
| (701) 444-2813 |
| Full Name | Lisa Marie Sanford |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 340 N Main St Ste 311, Watford City, North Dakota |
| 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 |
|---|---|---|---|
| 1740896828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | R41879 (North Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mckenzie County Healthcare Systems Inc | Watford city, ND | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Innovative Health | 2062872682 | 2 |
| Entity Name | Mckenzie County Healthcare Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063420495 PECOS PAC ID: 5890768006 Enrollment ID: O20040817000016 |
| Entity Name | Innovative Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437859782 PECOS PAC ID: 2062872682 Enrollment ID: O20230714000707 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Marie Sanford, NP Po Box 1256, Watford City, ND 58854-1256 Ph: (701) 444-2888 | Lisa Marie Sanford, NP 340 N Main St Ste 311, Watford City, ND 58854-7308 Ph: (701) 444-2888 |
Mrs. Afton Mckenzie Schaper, FNP Family Medicine Medicare: Medicare Enrolled Practice Location: 709 4th Ave Ne, Watford City, ND 58854 Phone: 701-842-3740 | |
Miss Jade Alexis Kelling, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 340 N Main St Ste 311, Watford City, ND 58854 Phone: 701-444-2888 Fax: 701-444-2813 | |
Dr. Tracy Beth Tomjack, D.O. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 709 4th Ave Ne, Watford City, ND 58854 Phone: 701-444-8730 |