| Daniel Watts, | |
|
1125 6th St Se, Willmar, MN 56201-4675 | |
| (320) 235-4613 | |
| Not Available |
| Full Name | Daniel Watts |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 1125 6th St Se, Willmar, 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 |
|---|---|---|---|
| 1437702289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | G155680 (Iowa) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 7831 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vinland National Center | 1557516184 | 7 |
| Entity Name | Vinland National Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144329632 PECOS PAC ID: 1557516184 Enrollment ID: O20130304000612 |
| Entity Name | Free Range Mental Health PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356006811 PECOS PAC ID: 6507252517 Enrollment ID: O20220330002997 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Watts, 1125 6th St Se, Willmar, MN 56201-4675 Ph: (320) 235-4613 | Daniel Watts, 1125 6th St Se, Willmar, MN 56201-4675 Ph: (320) 235-4613 |
Ms. Amber Erin Johnson, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Willmar Ave Sw, Willmar, MN 56201 Phone: 320-231-5000 |
Frances Anne Antkowiak, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Willmar Ave Sw, Willmar, MN 56201 Phone: 320-231-5000 Fax: 320-231-5067 |
Lucy R Brink, RN CNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1804 Trott Ave Sw, Willmar, MN 56201 Phone: 320-214-7286 Fax: 320-214-7223 |
Jolene Schlegel, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 502 2nd St Sw Ste 1, Willmar, MN 56201 Phone: 320-235-7232 Fax: 320-231-8602 |
Kristin Michelle Pomplun, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 515 19th Ave Sw, Willmar, MN 56201 Phone: 320-235-2720 |
Jeffery Ja Enstad, RN CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Willmar Ave Sw, Willmar, MN 56201 Phone: 320-231-5000 Fax: 320-231-5067 |
Michelle A Gerow-ellis, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Willmar Ave Sw, Willmar, MN 56201 Phone: 320-231-5000 Fax: 320-231-6323 |