| Mrs Courtney Mae Wittrock, PA-C | |
|
1900 Centracare Cir, Suite 2300, Saint Cloud, MN 56303-5000 | |
| (320) 654-3630 | |
| (320) 229-5142 |
| Full Name | Mrs Courtney Mae Wittrock |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 1900 Centracare Cir, Saint Cloud, 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 |
|---|---|---|---|
| 1336688175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Centracare - St. Cloud Hospital | Saint cloud, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Centracare Clinic | 2466363395 | 800 |
| Entity Name | Centracare Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
| Entity Name | Centracare Health System-nr LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558600874 PECOS PAC ID: 3870739410 Enrollment ID: O20130515000683 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Courtney Mae Wittrock, PA-C 1900 Centracare Cir, Suite 2300, Saint Cloud, MN 56303-5000 Ph: (320) 654-3630 | Mrs Courtney Mae Wittrock, PA-C 1900 Centracare Cir, Suite 2300, Saint Cloud, MN 56303-5000 Ph: (320) 654-3630 |
Emily Lou Johnson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1900 Centracare Cir Ste 2650, Saint Cloud, MN 56303 Phone: 320-253-2663 |
Becca Barry, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1406 6th Ave N, Saint Cloud, MN 56303 Phone: 320-656-7020 Fax: 320-255-5714 |
Mr. John Thomas Hardman, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 251 County Road 120, Saint Cloud, MN 56303 Phone: 320-202-8949 Fax: 320-202-0756 |
Faith Kelly Dammann Schlicht, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1406 6th Ave N, Saint Cloud, MN 56303 Phone: 320-255-2700 |
Claire Emilie Sautner, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1900 Centracare Cir, Saint Cloud, MN 56303 Phone: 320-229-5099 |
Abigail Holmberg, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1200 6th Ave N, Saint Cloud, MN 56303 Phone: 320-240-2829 |
Bradley Reiners, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303 Phone: 320-252-1670 |