| Mariah Lee Suess, CNP | |
|
401 W Glynn Dr, Parkston, SD 57366-9605 | |
| (605) 928-3311 | |
| (605) 928-7368 |
| Full Name | Mariah Lee Suess |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 401 W Glynn Dr, Parkston, South 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 |
|---|---|---|---|
| 1518692524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | CP002467 (South Dakota) | Primary |
| 163W00000X | Registered Nurse | R048313 (South Dakota) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Avera St Benedict Health Center - Cah | Parkston, SD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Benedict Health Center | 4880507672 | 12 |
| Entity Name | St Benedict Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295758266 PECOS PAC ID: 4880507672 Enrollment ID: O20040129001118 |
| Entity Name | St Benedict Health Center |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1356443725 PECOS PAC ID: 4880507672 Enrollment ID: O20061104000310 |
| Mailing Address | Practice Location Address |
|---|---|
| Mariah Lee Suess, CNP 401 W Glynn Dr, Parkston, SD 57366-9605 Ph: (605) 928-3311 | Mariah Lee Suess, CNP 401 W Glynn Dr, Parkston, SD 57366-9605 Ph: (605) 928-3311 |
Vicki Lubbers, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 W Glynn Dr, Parkston, SD 57366 Phone: 605-928-3311 Fax: 605-928-7368 | |
Lindsay Rae Weber, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 401 W Glynn Dr, Parkston, SD 57366 Phone: 605-928-3311 Fax: 605-928-7368 |