| Lifewise Associates LLC | |
|
210 Highway 2 W Ste 10 Devils Lake ND 58301-2913 | |
| (701) 662-1046 | |
| (866) 528-9548 |
| Full Name | Lifewise Associates LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 210 Highway 2 W Ste 10, Devils Lake, North Dakota |
| Authorized Official Name and Position | Darrin Cox (CO OWNER) |
| Authorized Official Contact | 7016621046 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifewise Associates LLC 210 Highway 2 W Ste 10 Devils Lake ND 58301-2913 Ph: (701) 662-1046 | Lifewise Associates LLC 210 Highway 2 W Ste 10 Devils Lake ND 58301-2913 Ph: (701) 662-1046 |
| NPI Number | 1871088674 |
|---|---|
| Provider Enumeration Date | 06/25/2018 |
| Last Update Date | 05/06/2019 |
| Medicare PECOS PAC ID | 2264784008 |
|---|---|
| Medicare Enrollment ID | O20190625002236 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871088674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| Provider Name | Erin K Hagemeister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811065766 PECOS PAC ID: 7810980836 Enrollment ID: I20040827001066 |
| Provider Name | Danielle Don Skaar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558383653 PECOS PAC ID: 7719910959 Enrollment ID: I20050916000897 |
| Provider Name | Marci L Kligmann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780906768 PECOS PAC ID: 4981854429 Enrollment ID: I20121018000717 |
| Provider Name | Darrin L Cox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780732297 PECOS PAC ID: 9638220916 Enrollment ID: I20140416000868 |
| Provider Name | Michael a Shock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659404556 PECOS PAC ID: 0840414942 Enrollment ID: I20140611000847 |
| Provider Name | Kelsey Vivatson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043945397 PECOS PAC ID: 3072989714 Enrollment ID: I20221020000621 |
| Provider Name | Maria Wolf Burdick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407567654 PECOS PAC ID: 0547633174 Enrollment ID: I20230302000873 |
| Provider Name | James E Lang |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023683323 PECOS PAC ID: 3870937030 Enrollment ID: I20240215004254 |
| Provider Name | Paityn Dawnae Featherstone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255094827 PECOS PAC ID: 5799288106 Enrollment ID: I20250911003608 |
| Provider Name | Lilisa Reese |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871450775 PECOS PAC ID: 1850879222 Enrollment ID: I20260128002784 |
| Provider Name | Kathleen Elizabeth Reichenberg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366724643 PECOS PAC ID: 9234604661 Enrollment ID: I20260413003264 |
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