| Mackenzie Ann Diekmann Stice, MD | |
|
2155 Ford Pkwy Ste A, Saint Paul, MN 55116-2799 | |
| (651) 696-5000 | |
| Not Available |
| Full Name | Mackenzie Ann Diekmann Stice |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 7 Years |
| Location | 2155 Ford Pkwy Ste A, Saint Paul, Minnesota |
| 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 |
|---|---|---|---|
| 1629632799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 01089674A (Indiana) | Primary |
| 208000000X | Pediatrics | 01089674A (Indiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Eskenazi Health | Indianapolis, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eskenazi Medical Group Inc | 4284546813 | 126 |
| Entity Name | Eskenazi Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730451063 PECOS PAC ID: 4284546813 Enrollment ID: O20031103000440 |
| Entity Name | St Vincent Pediatric Subspecialties |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013967736 PECOS PAC ID: 1557313939 Enrollment ID: O20050214000627 |
| Mailing Address | Practice Location Address |
|---|---|
| Mackenzie Ann Diekmann Stice, MD 720 Eskenazi Ave, Fifth Third Bank Building, 5th Fl, Indianapolis, IN 46202 Ph: () - | Mackenzie Ann Diekmann Stice, MD 2155 Ford Pkwy Ste A, Saint Paul, MN 55116-2799 Ph: (651) 696-5000 |
Christopher Lam, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1390 University Ave W, Saint Paul, MN 55104 Phone: 651-232-4800 | |
Dr. Panduka N Samarawardana, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 333 Smith Ave N, Saint Paul, MN 55102 Phone: 651-241-8000 | |
Shannon Elizabeth Hayes, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 952-967-7977 Fax: 651-254-9673 | |
Margaret L Guthrie, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 333 Smith Ave N, Suite 4314a, Saint Paul, MN 55102 Phone: 651-241-8436 Fax: 651-241-2793 | |
Dr. Lourdes Gomez Villaume, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-9673 | |
Dr. Brian David Tomich, D.O Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-3456 | |
Matthew Malachy Thielman, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 333 Smith Ave N, Suite 4314a, Saint Paul, MN 55102 Phone: 651-241-8436 |