| Lisa M Peterson, PA-C | |
|
1500 14th St W Ste 300, Williston, ND 58801-4079 | |
| (701) 774-7500 | |
| (701) 774-3918 |
| Full Name | Lisa M Peterson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 17 Years |
| Location | 1500 14th St W Ste 300, Williston, 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 |
|---|---|---|---|
| 1619156411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PAC0377 (North Dakota) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | PAC0377 (North Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chi St Alexius Health Williston | Williston, ND | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Great Plains Women's Health Center Pc | 3476557984 | 4 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa M Peterson, PA-C 1500 14th St W Ste 300, Williston, ND 58801-4079 Ph: (701) 774-7500 | Lisa M Peterson, PA-C 1500 14th St W Ste 300, Williston, ND 58801-4079 Ph: (701) 774-7500 |
Kelsey Jordan Sederquest, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1301 15th Ave W, Williston, ND 58801 Phone: 701-572-7651 | |
Kynzie Oliver, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1301 15th Ave W, Williston, ND 58801 Phone: 701-774-7400 | |
Carley Hennessy, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1700 11th St W, Williston, ND 58801 Phone: 701-774-7687 | |
Mr. Chad R Bowen, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3 4th St E, Williston, ND 58801 Phone: 701-577-6337 | |
Carissa Annette Niederhauser, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 1301 15th Ave W, Williston, ND 58801 Phone: 701-774-7400 |