| Benjamin Vincent Deitzen, APRN, FNP-C | |
|
1615 Maple Ln, Ashland, WI 54806-3626 | |
| (715) 685-5700 | |
| (715) 682-2804 |
| Full Name | Benjamin Vincent Deitzen |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 1615 Maple Ln, Ashland, Wisconsin |
| 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) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 13971 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Medical Center | Ashland, WI | Hospital |
| St Marys Hospital Superior | Superior, WI | Hospital |
| Hayward Area Memorial Hospital | Hayward, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Polinsky Medical Rehabilitation Center | 0941377360 | 378 |
| Memorial Medical Center Inc | 8022000447 | 79 |
| Memorial Medical Center Inc | 8022000447 | 79 |
| The Duluth Clinic Ltd | 2567374283 | 1121 |
| Entity Name | The Duluth Clinic Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245278209 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000120 |
| Entity Name | St Marys Hospital Of Superior |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083657886 PECOS PAC ID: 8628964228 Enrollment ID: O20040309000070 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Vincent Deitzen, APRN, FNP-C 1615 Maple Ln, Ashland, WI 54806-3626 Ph: (715) 685-5700 | Benjamin Vincent Deitzen, APRN, FNP-C 1615 Maple Ln, Ashland, WI 54806-3626 Ph: (715) 685-5700 |
Ms. Melissa Jean Malmberg, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1615 Maple Ln, Ashland, WI 54806 Phone: 715-685-5500 | |
Dana R Katchka, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Main St W, Ashland, WI 54806 Phone: 715-685-2200 Fax: 715-685-1185 | |
Carol Bushman, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1615 Maple Ln Ste 1, Ashland, WI 54806 Phone: 715-685-7500 | |
Carrie L Alajoki, DNP, MSN, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 Main St W, Ashland, WI 54806 Phone: 715-682-5601 Fax: 715-682-6878 | |
Mary Lee Vitek, RN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1615 Maple Ln Ste 1, Essentia Health Ashland Clinic, Ashland, WI 54806 Phone: 715-685-7500 | |
Pamela Rutter, RN, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1625 Maple Ln, Ashland, WI 54806 Phone: 715-685-7500 |