| Mark E Koivula, FNP-C | |
|
516 Main St, Bottineau, ND 58318-1203 | |
| (701) 534-0109 | |
| (866) 640-0723 |
| Full Name | Mark E Koivula |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 17 Years |
| Location | 516 Main St, Bottineau, North Dakota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265660740 | NPI | - | NPPES |
| R26131 | Other | ND | ND FNP LICENSE # |
| 1454625 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R26131 (North Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Andrew's Hospital | Bottineau, ND | Hospital |
| Trinity Hospitals | Minot, ND | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pyramid Health Llc | 0941543797 | 2 |
| Entity Name | Pyramid Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992269161 PECOS PAC ID: 0941543797 Enrollment ID: O20190517000381 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark E Koivula, FNP-C Po Box 419, Bottineau, ND 58318-0401 Ph: () - | Mark E Koivula, FNP-C 516 Main St, Bottineau, ND 58318-1203 Ph: (701) 534-0109 |
Tracy L Larson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 314 Ohmer St, Bottineau, ND 58318 Phone: 701-228-9400 Fax: 701-228-9398 | |
Molly Sue Beyer, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 514 Thompson St, Bottineau, ND 58318 Phone: 701-201-0636 | |
Amanda Kay Dukart Beckman, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 314 Ohmer St, Bottineau, ND 58318 Phone: 701-228-9400 Fax: 701-228-9398 | |
Ms. Brenda Marquardt, A.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 516 Main St, Bottineau, ND 58318 Phone: 701-534-0109 Fax: 866-640-0723 | |
Kelly D Tiffany, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 314 Ohmer St, Bottineau, ND 58318 Phone: 701-228-9400 |