| Mackenzie Jane Wieser, | |
|
332 2nd Ave N, Wahpeton, ND 58075-4528 | |
| (701) 642-7000 | |
| Not Available |
| Full Name | Mackenzie Jane Wieser |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 332 2nd Ave N, Wahpeton, 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 |
|---|---|---|---|
| 1972280550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R44992 (North Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sanford Wheaton Medical Center | Wheaton, MN | Hospital |
| Sanford Medical Center Fargo | Fargo, ND | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sanford Medical Center Fargo | 8426967803 | 1125 |
| Sanford Health Network North | 8022206663 | 93 |
| Coteau Des Prairies Hospital | 8022926468 | 10 |
| Entity Name | Sanford Medical Center Fargo |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495 |
| Mailing Address | Practice Location Address |
|---|---|
| Mackenzie Jane Wieser, Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () - | Mackenzie Jane Wieser, 332 2nd Ave N, Wahpeton, ND 58075-4528 Ph: (701) 642-7000 |
Cheri J Berge, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 332 2nd Ave N, Wahpeton, ND 58075 Phone: 701-642-7000 Fax: 701-642-7055 | |
Brooke Rae Heitkamp Hills, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 332 2nd Ave N, Wahpeton, ND 58075 Phone: 701-642-7000 | |
Tristin Rae Dutton, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 275 11th St S, Wahpeton, ND 58075 Phone: 701-642-2000 | |
Brandee Alexandra Rivard, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 332 2nd Ave N, Wahpeton, ND 58075 Phone: 701-642-7000 Fax: 701-642-7055 | |
Amy Falck, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 332 2nd Ave N, Wahpeton, ND 58075 Phone: 701-642-7000 | |
Mrs. Marcia Elaine Kempton, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 275 11th St S, Wahpeton, ND 58075 Phone: 701-642-2000 Fax: 701-671-4106 | |
Patty A Lies, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 275 11th St S, Wahpeton, ND 58075 Phone: 701-642-2000 Fax: 701-671-4106 |