| Agatha J Ottem Lill, PA-C | |
|
1750 47th Ave S, Grand Forks, ND 58201-7595 | |
| (701) 757-8700 | |
| (701) 234-1147 |
| Full Name | Agatha J Ottem Lill |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 1750 47th Ave S, Grand Forks, 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 |
|---|---|---|---|
| 1093236267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 12712 (Minnesota) | Secondary |
| 363A00000X | Physician Assistant | 0689 (North Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Altru Hospital | Grand forks, ND | Hospital |
| Lifecare Medical Center | Roseau, MN | Hospital |
| Pembina County Memorial Hospital | Cavalier, ND | Hospital |
| Unity Medical Center | Grafton, ND | Hospital |
| Heart Of America Medical Center | Rugby, ND | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Altru Health System | 1355251604 | 658 |
| Mailing Address | Practice Location Address |
|---|---|
| Agatha J Ottem Lill, PA-C Po Box 5074, Sioux Falls, SD 57117-5074 Ph: (605) 328-6585 | Agatha J Ottem Lill, PA-C 1750 47th Ave S, Grand Forks, ND 58201-7595 Ph: (701) 757-8700 |
Sherbie Darbouze, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3674 S Washington St, Grand Forks, ND 58201 Phone: 701-205-3000 Fax: 701-732-2501 | |
Devon Nicole Anderson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3674 S Washington St, Grand Forks, ND 58201 Phone: 701-205-3000 Fax: 701-732-2501 | |
Cassidy A Mindeman, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1200 S Columbia Rd, Grand Forks, ND 58201 Phone: 218-791-0992 | |
Ruth Ann Green, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4440 S Washington St. - Altru Professional Center, Grand Forks, ND 58201 Phone: 701-732-7600 | |
Monica A. Lamm, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1200 S Columbia Rd - Altru Hospital, Grand Forks, ND 58201 Phone: 701-780-6000 | |
Kele Ferreira, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3674 S Washington St, Grand Forks, ND 58201 Phone: 701-205-3000 Fax: 701-732-2501 | |
Nicole Anne R Gadon, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3674 S Washington St, Grand Forks, ND 58201 Phone: 701-205-3000 Fax: 701-732-2501 |