| Kendra Bohm, | |
|
709 4th Ave Ne, Watford City, ND 58854-7628 | |
| (701) 842-3000 | |
| Not Available |
| Full Name | Kendra Bohm |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 709 4th Ave Ne, Watford City, North Dakota |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588474548 | NPI | - | NPPES |
| 1497306 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PAC1174 (North Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Essentia Health Fargo | Fargo, ND | Hospital |
| Chi Mercy Health | Valley city, ND | Hospital |
| Entity Name | Mckenzie County Healthcare Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396516506 PECOS PAC ID: 5890768006 Enrollment ID: O20040817000016 |
| Entity Name | Mckenzie County Healthcare Systems Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1518988948 PECOS PAC ID: 5890768006 Enrollment ID: O20061104000557 |
| Entity Name | Innovis Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215125463 PECOS PAC ID: 9931298155 Enrollment ID: O20071211000158 |
| Mailing Address | Practice Location Address |
|---|---|
| Kendra Bohm, 709 4th Ave Ne, Watford City, ND 58854-7628 Ph: (701) 842-3000 | Kendra Bohm, 709 4th Ave Ne, Watford City, ND 58854-7628 Ph: (701) 842-3000 |
Virginia Ellen Ceynar, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 525 North Main Street, Watford City, ND 58854 Phone: 701-842-3771 Fax: 701-842-4025 | |
Taya Olson, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 709 4th Ave Ne, Watford City, ND 58854 Phone: 701-842-3000 |