| Benjamin Vincent Deitzen, APRN, FNP-C | |
|
705 Lundorff Dr, Sandstone, MN 55072-5099 | |
| (320) 245-2211 | |
| Not Available |
| Full Name | Benjamin Vincent Deitzen |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 705 Lundorff Dr, Sandstone, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265153910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 9770 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Marys Hospital Superior | Superior, WI | Hospital |
| Memorial Medical Center | Ashland, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Duluth Clinic Ltd | 2567374283 | 957 |
| St Marys Hospital Of Superior | 8628964228 | 75 |
| Entity Name | The Duluth Clinic Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902563638 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000229 |
| Entity Name | Pine Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326041633 PECOS PAC ID: 3870406945 Enrollment ID: O20031106000272 |
| Entity Name | Essentia Health Moose Lake |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154959880 PECOS PAC ID: 6608290333 Enrollment ID: O20200730001548 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Vincent Deitzen, APRN, FNP-C 400 E 3rd St, Duluth, MN 55805-1951 Ph: (269) 209-6110 | Benjamin Vincent Deitzen, APRN, FNP-C 705 Lundorff Dr, Sandstone, MN 55072-5099 Ph: (320) 245-2211 |
Christy Leah Melzark, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 707 Lundorff Dr Ste 1, Sandstone, MN 55072 Phone: 320-245-2250 Fax: 320-245-2555 | |
Shelly Anne Kuhlmann, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 Main St, Sandstone, MN 55072 Phone: 320-373-2323 | |
Andrea Jean Hanson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 Main St, Sandstone, MN 55072 Phone: 320-372-2323 | |
Sambath Cheath, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 707 Lundorff Dr Ste 1, Sandstone, MN 55072 Phone: 320-245-2250 Fax: 320-245-2555 | |
Heidi Jolene Voss, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2300 County Road 29, Sandstone, MN 55072 Phone: 320-245-6230 | |
Dr. Naomi Koenig, APRN,FNP-C, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 Main Street, Sandstone, MN 55072 Phone: 320-372-2323 |