| Nicole Leigh Wellman Donester, MD | |
|
400 13th Ave S, Suite 206, Great Falls, MT 59405-4300 | |
| (406) 731-8888 | |
| (406) 731-8876 |
| Full Name | Nicole Leigh Wellman Donester |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 18 Years |
| Location | 400 13th Ave S, Great Falls, Montana |
| 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 |
|---|---|---|---|
| 1689909566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | A111981 (California) | Secondary |
| 207N00000X | Dermatology | 18601 (Montana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Benefis Hospitals Inc | Great falls, MT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Epiphany Dermatology Of Montana, Pllc | 9537593710 | 11 |
| Entity Name | Benefis Hospitals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780968974 PECOS PAC ID: 1153235296 Enrollment ID: O20100629000044 |
| Entity Name | Epiphany Dermatology Of Montana, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902455074 PECOS PAC ID: 9537593710 Enrollment ID: O20191220001305 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Leigh Wellman Donester, MD 400 13th Ave S, Suite 206, Great Falls, MT 59405-4300 Ph: (406) 731-8888 | Nicole Leigh Wellman Donester, MD 400 13th Ave S, Suite 206, Great Falls, MT 59405-4300 Ph: (406) 731-8888 |
Dr. Leslie Ellen Stapp, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 400 13th Ave S, Great Falls, MT 59405 Phone: 406-731-8888 Fax: 406-731-8318 | |
Hana Paladichuk, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 400 13th Ave S Ste 206, Great Falls, MT 59405 Phone: 406-455-2831 Fax: 406-455-2798 | |
Emilie Sue Jacobsen, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 400 13th Ave S Ste 206, Great Falls, MT 59405 Phone: 406-731-8888 | |
Ali Marzooq, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 400 13th Ave S Ste 206, Great Falls, MT 59405 Phone: 406-455-2831 | |
Jonathan L Bingham, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 100 Park Dr S, Great Falls, MT 59401 Phone: 406-613-7160 Fax: 406-831-5345 |