| Marc Ricks, MD | |
|
2615 Fairway St, Dickinson, ND 58601-2590 | |
| (701) 456-6004 | |
| Not Available |
| Full Name | Marc Ricks |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 2615 Fairway St, Dickinson, 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 |
|---|---|---|---|
| 1669613089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 12730 (North Dakota) | Primary |
| 208000000X | Pediatrics | 098853 (Ohio) | Secondary |
| Entity Name | Sanford Bismarck |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811941172 PECOS PAC ID: 9739098575 Enrollment ID: O20031105000403 |
| Mailing Address | Practice Location Address |
|---|---|
| Marc Ricks, MD 1005 5th Ave W, Dickinson, ND 58601-3836 Ph: (216) 816-6662 | Marc Ricks, MD 2615 Fairway St, Dickinson, ND 58601-2590 Ph: (701) 456-6004 |
Amy E Oksa, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 938 2nd Ave W, Dickinson, ND 58601 Phone: 701-456-6000 Fax: 701-323-5709 | |
Brian E O'hara, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2500 Fairway St, Dickinson, ND 58601 Phone: 701-456-4000 | |
Gary D Peterson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 938 2nd Ave W, Dickinson, ND 58601 Phone: 701-456-6000 Fax: 701-323-5709 | |
Nabeel Manzar, Pediatrics Medicare: Medicare Enrolled Practice Location: 2615 Fairway St, Dickinson, ND 58601 Phone: 701-456-6000 Fax: 701-456-6101 |