| Tracy Lynn Dozak, NP-C | |
|
450 Eastvold Ave, Ortonville, MN 56278-1133 | |
| (320) 839-6157 | |
| (320) 839-3851 |
| Full Name | Tracy Lynn Dozak |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 450 Eastvold Ave, Ortonville, 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 |
|---|---|---|---|
| 1245663657 | NPI | - | NPPES |
| 1245663657 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 3082 (Minnesota) | Primary |
| 363LF0000X | Nurse Practitioner - Family | R32847 (North Dakota) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ortonville Area Health Services | Ortonville, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ortonville Area Health Services | 2365448768 | 12 |
| Entity Name | Ortonville Area Health Services |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1790783587 PECOS PAC ID: 2365448768 Enrollment ID: O20061006000515 |
| Entity Name | Ortonville Area Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477799765 PECOS PAC ID: 2365448768 Enrollment ID: O20090326000381 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy Lynn Dozak, NP-C 450 Eastvold Ave, Ortonville, MN 56278-1252 Ph: (320) 839-6157 | Tracy Lynn Dozak, NP-C 450 Eastvold Ave, Ortonville, MN 56278-1133 Ph: (320) 839-6157 |
Twila Johanna Mursu, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 450 Eastvold Ave, Ortonville, MN 56278 Phone: 320-839-6157 Fax: 320-839-6159 | |
Ms. Cheryl E Jurgens, FNP, CDE Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 450 Eastvold Ave, Ortonville, MN 56278 Phone: 320-839-6157 Fax: 320-839-3851 | |
Kiana Conrad, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 450 Eastvold Ave, Ortonville, MN 56278 Phone: 320-839-6157 Fax: 320-839-3851 | |
Kalai Ann Brink, AGNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 450 Eastvold Ave, Ortonville, MN 56278 Phone: 320-839-2502 | |
Michelle Rose Collins, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 450 Eastvold Ave, Ortonville, MN 56278 Phone: 507-858-1210 | |
Sheree S Keller, WHCNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 450 Eastvold Ave, Ortonville, MN 56278 Phone: 320-839-6157 Fax: 320-839-3851 |