| Transitions Healthcare Pllc | |
|
2401 46th Ave Se Ste 201 Mandan ND 58554-4829 | |
| (701) 699-4052 | |
| (701) 989-7030 |
| Full Name | Transitions Healthcare Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2401 46th Ave Se Ste 201, Mandan, North Dakota |
| Authorized Official Name and Position | Stephanie Macdonald (PRESIDENT) |
| Authorized Official Contact | 7016994052 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Transitions Healthcare Pllc 2401 46th Ave Se Ste 201 Mandan ND 58554-4829 Ph: (701) 699-4052 | Transitions Healthcare Pllc 2401 46th Ave Se Ste 201 Mandan ND 58554-4829 Ph: (701) 699-4052 |
| NPI Number | 1992304695 |
|---|---|
| Provider Enumeration Date | 10/22/2020 |
| Last Update Date | 09/12/2022 |
| Medicare PECOS PAC ID | 1153736160 |
|---|---|
| Medicare Enrollment ID | O20210224000705 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992304695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| Provider Name | Lori Jill Charbonneau |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700074341 PECOS PAC ID: 8325135932 Enrollment ID: I20071030000102 |
| Provider Name | Stephanie J Macdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861864415 PECOS PAC ID: 4880994854 Enrollment ID: I20151123001977 |
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