| 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 | 
| Location | 401 W Glynn Dr, Parkston, South Dakota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| 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 | 
| 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: Accepting Medicare Assignments Practice Location: 401 W Glynn Dr, Parkston, SD 57366 Phone: 605-928-3311 Fax: 605-928-7368  |