| Mr Norman Leo Berthiaume, FNP-C | |
|
1200 Roberts Ave Ne, Cooperstown, ND 58425-7101 | |
| (701) 797-2221 | |
| (701) 797-2457 |
| Full Name | Mr Norman Leo Berthiaume |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Primary Care |
| Location | 1200 Roberts Ave Ne, Cooperstown, North Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770691651 | NPI | - | NPPES |
| 128170099 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R015780 (Maine) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | R34592 (North Dakota) | Primary |
| Entity Name | Pacific Med & Nephrology |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033391313 PECOS PAC ID: 1951296490 Enrollment ID: O20040216000458 |
| Entity Name | American Medical Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457329849 PECOS PAC ID: 1759311699 Enrollment ID: O20050819000498 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Norman Leo Berthiaume, FNP-C 1200 Roberts Ave Ne, Cooperstown, ND 58425-7101 Ph: (701) 797-2221 | Mr Norman Leo Berthiaume, FNP-C 1200 Roberts Ave Ne, Cooperstown, ND 58425-7101 Ph: (701) 797-2221 |
Dr. Amanda Leigh Perry, DNP, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 665 112th Ave Ne, Cooperstown, ND 58425 Phone: 601-870-0774 Fax: 701-797-3328 | |
Mrs. Kristine Louise Martin, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 107 12th St S, Cooperstown, ND 58425 Phone: 701-786-1700 Fax: 701-786-7122 | |
Debra L. Middleton, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 Roberts Ave Ne, Cooperstown, ND 58425 Phone: 701-797-2221 Fax: 701-797-2457 | |
Kevin S Jacobson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 Roberts Ave Ne, Cooperstown Medical Center, Cooperstown, ND 58425 Phone: 701-797-2128 |