| Stacy J Zimney, PA-C | |
|
211 E Mill St, Pelican Rapids, MN 56572 | |
| (218) 863-6100 | |
| (218) 863-6173 |
| Full Name | Stacy J Zimney |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 22 Years |
| Location | 211 E Mill St, Pelican Rapids, 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 |
|---|---|---|---|
| 1952322299 | NPI | - | NPPES |
| 71194 | Medicaid | ND | |
| 483903000 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 9966 (Minnesota) | Primary |
| 363AM0700X | Physician Assistant - Medical | 9966 (Minnesota) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sanford | Fargo, ND | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sanford Medical Center Fargo | 8426967803 | 1210 |
| Entity Name | Sanford Medical Center Fargo |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110701000031 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy J Zimney, PA-C 211 E Mill St, Po Box 737, Pelican Rapids, MN 56572 Ph: (218) 863-6100 | Stacy J Zimney, PA-C 211 E Mill St, Pelican Rapids, MN 56572 Ph: (218) 863-6100 |
Mr. Joseph Allen Mohr, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 211 E Mill St, Box 737, Pelican Rapids, MN 56572 Phone: 218-863-6100 Fax: 218-863-6173 |
Shelby Schermerhorn, Physician Assistant Medicare: Medicare Enrolled Practice Location: 42110 210th Ave, Pelican Rapids, MN 56572 Phone: 218-329-6452 |
Carrie Affield, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 211 East Mill Street, Pelican Rapids, MN 56572 Phone: 218-863-6100 Fax: 218-863-6173 |
Wendy Riva, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 211 E Mill St, Pelican Rapids, MN 56572 Phone: 218-863-6100 |