| Jessica Raye Wichmann, PA-C | |
|
2650 32nd Ave S Ste D, Grand Forks, ND 58201-6541 | |
| (701) 732-2700 | |
| (701) 732-2701 |
| Full Name | Jessica Raye Wichmann |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 17 Years |
| Location | 2650 32nd Ave S Ste D, 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 |
|---|---|---|---|
| 1326373317 | NPI | - | NPPES |
| 1467147 | Medicaid | ND | |
| 970004432 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PAC0628 (North Dakota) | Primary |
| 363A00000X | Physician Assistant | 10660 (Minnesota) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Unity Medical Center | Grafton, ND | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Christian Unity Hospital Corporation | 8123925401 | 25 |
| Entity Name | Christian Unity Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558423665 PECOS PAC ID: 8123925401 Enrollment ID: O20041006000540 |
| Entity Name | Lisbon Area Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811168958 PECOS PAC ID: 4486562873 Enrollment ID: O20041008000975 |
| Entity Name | Christian Unity Hospital Corporation |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1245216852 PECOS PAC ID: 8123925401 Enrollment ID: O20061104000233 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Raye Wichmann, PA-C Po Box 5210, Grand Forks, ND 58206-5210 Ph: (218) 310-2733 | Jessica Raye Wichmann, PA-C 2650 32nd Ave S Ste D, Grand Forks, ND 58201-6541 Ph: (701) 732-2700 |
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 |
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 |
Agatha J Ottem Lill, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1750 47th Ave S, Grand Forks, ND 58201 Phone: 701-757-8700 Fax: 701-234-1147 |