Stacie Marie Wellman, MD in Hettinger, ND

Stacie Marie Wellman, MD is a medicare enrolled "Family Medicine" physician in Hettinger, North Dakota. She went to University Of North Dakota School Of Medicine and graduated in 2010 and has 16 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice West River Health Services and her current practice location is 1000 Highway 12, Hettinger, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 567-4561.

Stacie Marie Wellman is licensed to practice in North Dakota (license number 19227) 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 1669793410.

Contact Information

	Stacie Marie Wellman, MD
	1000 Highway 12, Hettinger, ND 58639-7530
	(701) 567-4561
	Not Available

Map and Direction

Physician's Profile

Full Name	Stacie Marie Wellman
Gender	Female
Speciality	Family Practice
Experience	16 Years
Location	1000 Highway 12, Hettinger, 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.

Medical Education and Training:

Stacie Marie Wellman attended and graduated from University Of North Dakota School Of Medicine in 2010

NPI Data:

NPI Number: 1669793410
Provider Enumeration Date: 06/16/2010
Last Update Date: 03/06/2023

Medicare PECOS Information:

PECOS PAC ID: 9436304987
Enrollment ID: I20130820000715

Medical Identifiers

Medical identifiers for Stacie Marie Wellman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669793410	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	8897 (South Dakota)	Secondary
207Q00000X	Family Medicine	12893 (North Dakota)	Secondary
207Q00000X	Family Medicine	14041 (South Dakota)	Secondary
207Q00000X	Family Medicine	68454 (Montana)	Secondary
207Q00000X	Family Medicine	19227 (North Dakota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
West River Regional Medical Center-cah	Hettinger, ND	Hospital
Five Counties Nursing Home	Lemmon, SD	Nursing home

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
West River Health Services	0042127045	12

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. Stacie Marie Wellman allows following entities to bill medicare on her behalf.

Entity Name	West River Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174606271 PECOS PAC ID: 0042127045 Enrollment ID: O20040128001023

Entity Name	West River Health Services
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1588763247 PECOS PAC ID: 0042127045 Enrollment ID: O20100909000218

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. Stacie Marie Wellman 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 Address	Practice Location Address
Stacie Marie Wellman, MD 1000 Highway 12, Hettinger, ND 58639-7530 Ph: (701) 567-4561	Stacie Marie Wellman, MD 1000 Highway 12, Hettinger, ND 58639-7530 Ph: (701) 567-4561

Reviews and Comments

Family Medicine Doctors in Hettinger, ND

Catherine E Shirek, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Highway 12, Hettinger, ND 58639 Phone: 701-567-4561
Thomas E Jacobsen, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1000 Highway 12, Hettinger, ND 58639 Phone: 701-567-4561
John P Joyce, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1000 Highway 12, Hettinger, ND 58639 Phone: 701-567-4561
Robert E Grossman, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1000 Highway 12, Hettinger, ND 58639 Phone: 701-567-4561
Frank A Thorngren, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1000 Highway 12, Hettinger, ND 58639 Phone: 701-567-4561
Joseph M Mattson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1000 Highway 12, Hettinger, ND 58639 Phone: 701-567-4561
Terrance R Mack, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1000 Highway 12, Hettinger, ND 58639 Phone: 701-567-4561

Stacie Marie Wellman, MD - Medicare Family Practice in Hettinger, ND