Katie L Tanner, PA - Medicare Physician Assistant in Lisbon, ND

  1. Home
  2. Physician Assistant
  3. ND
  4. Lisbon
Katie L Tanner, PA is a medicare enrolled "Physician Assistant" in Lisbon, North Dakota. She graduated from nursing school in 1994 and has 30 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Innovis Health Llc and her current practice location is 819 Main St, Lisbon, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 683-4134.

Katie L Tanner is licensed to practice in North Dakota (license number PAC0102) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1225013634.

Contact Information

Katie L Tanner, PA
819 Main St,
Lisbon, ND 58054-4244
(701) 683-4134
(701) 683-4094

Map and Direction




Provider's Profile

Full NameKatie L Tanner
GenderFemale
SpecialityPhysician Assistant
Experience30 Years
Location819 Main St, Lisbon, North Dakota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Katie L Tanner graduated from nursing school in 1994
  NPI Data:
  • NPI Number: 1225013634
  • Provider Enumeration Date: 12/08/2005
  • Last Update Date: 09/12/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3971798976
  • Enrollment ID: I20101116001131

Medical Identifiers

Medical identifiers for Katie L Tanner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225013634NPI-NPPES
05171MedicaidND
19659OtherNDNDBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PAC0102 (North Dakota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Chi Health At HomeValley city, NDHome health agency
Chi Health At HomeBreckenridge, MNHome health agency
Hospice Of Red River ValleyFargo, NDHospice
Essentia HealthFargo, NDHospital
Lisbon Area Health ServicesLisbon, NDHospital
North Dakota Veterans HomeLisbon, NDNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Innovis Health Llc9931298155473

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Katie L Tanner is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Katie L Tanner, PA
400 E 3rd St,
Duluth, MN 55805-1951

Ph: () -		Katie L Tanner, PA
819 Main St,
Lisbon, ND 58054-4244

Ph: (701) 683-4134

Reviews and Comments


Physician Assistant Nurses in Lisbon, ND

Bruce D Larson, PAC
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 819 Main St, Lisbon, ND 58054
Phone: 701-683-4134    Fax: 701-683-4094
Sean Core, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 819 Main St, Lisbon, ND 58054
Phone: 017-683-4134    
Mr. Brent Michael Buchholz, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 905 Main St, Lisbon, ND 58054
Phone: 701-683-6400    Fax: 701-683-4345
Stacey Maria Walton, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 10 9th Ave E, Lisbon, ND 58054
Phone: 701-683-4711    Fax: 701-683-3205

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.