Mackenzie Ann Diekmann Stice, MD | |
2155 Ford Pkwy Ste A, Saint Paul, MN 55116-2799 | |
(651) 696-5000 | |
Not Available |
Full Name | Mackenzie Ann Diekmann Stice |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 5 Years |
Location | 2155 Ford Pkwy Ste A, Saint Paul, 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 |
---|---|---|---|
1629632799 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 01089674A (Indiana) | Primary |
208000000X | Pediatrics | 01089674A (Indiana) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Eskenazi Health | Indianapolis, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Eskenazi Medical Group Inc | 4284546813 | 119 |
Entity Name | Eskenazi Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730451063 PECOS PAC ID: 4284546813 Enrollment ID: O20031103000440 |
Entity Name | St Vincent Pediatric Subspecialties |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013967736 PECOS PAC ID: 1557313939 Enrollment ID: O20050214000627 |
Mailing Address | Practice Location Address |
---|---|
Mackenzie Ann Diekmann Stice, MD 720 Eskenazi Ave, Fifth Third Bank Building, 5th Fl, Indianapolis, IN 46202 Ph: () - | Mackenzie Ann Diekmann Stice, MD 2155 Ford Pkwy Ste A, Saint Paul, MN 55116-2799 Ph: (651) 696-5000 |
Dr. Panduka N Samarawardana, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 333 Smith Ave N, Saint Paul, MN 55102 Phone: 651-241-8000 | |
Shannon Elizabeth Hayes, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 952-967-7977 Fax: 651-254-9673 | |
Margaret L Guthrie, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 333 Smith Ave N, Suite 4314a, Saint Paul, MN 55102 Phone: 651-241-8436 Fax: 651-241-2793 | |
Rahul Velaga, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 400 Spring St, Apt 130, Saint Paul, MN 55102 Phone: 989-327-4117 | |
Dr. Lourdes Gomez Villaume, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-9673 | |
Dr. Brian David Tomich, D.O Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-3456 | |
Hojung J Yoon, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 69 Exchange St W, Saint Paul, MN 55102 Phone: 651-232-3000 |