| Mackenzie Snortum, PMHNP | |
|
1011 1st St E Ste 5, Park Rapids, MN 56470-1764 | |
| (320) 321-9599 | |
| (877) 962-3624 |
| Full Name | Mackenzie Snortum |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 1011 1st St E Ste 5, Park Rapids, Minnesota |
| 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 |
|---|---|---|---|
| 1013555887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 2019073975 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Enlightenment Psychiatry Llc | 0143607440 | 3 |
| Entity Name | Enlightenment Psychiatry Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629737473 PECOS PAC ID: 0143607440 Enrollment ID: O20220505002413 |
| Mailing Address | Practice Location Address |
|---|---|
| Mackenzie Snortum, PMHNP 20122 239th Ave, Nevis, MN 56467-4209 Ph: (320) 321-9599 | Mackenzie Snortum, PMHNP 1011 1st St E Ste 5, Park Rapids, MN 56470-1764 Ph: (320) 321-9599 |
Kathryn L Nevins, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 705 Pleasant Ave S, Park Rapids, MN 56470 Phone: 218-732-2800 | |
Stacia Lenore Heisler, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 705 Pleasant Ave S, Park Rapids, MN 56470 Phone: 218-732-2800 | |
Victoria Rae Teske, APRN,CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 705 Pleasant Ave S, Park Rapids, MN 56470 Phone: 218-732-2800 Fax: 218-732-2857 | |
Dr. Tina Denaie Wedde, DNP, FNP-C, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 7th St W, Park Rapids, MN 56470 Phone: 218-699-3121 | |
Ms. Delores Ann Alleckson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 705 Pleasant Ave S, Park Rapids, MN 56470 Phone: 218-732-2800 Fax: 218-732-2857 | |
Anita Bagstad, APRN,CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 705 Pleasant Ave S, Park Rapids, MN 56470 Phone: 218-732-2800 Fax: 218-732-2857 |