Nicole Bettendorf, FNP is a
Family Medicine physician based in Walhalla, North Dakota. Nicole Bettendorf is licensed to practice in North Dakota (license number 200264) and her current practice location is 301 5th St, Walhalla, North Dakota. She can be reached at her office (for appointments etc.) via phone at
(763) 233-8584.
NPI number for Nicole Bettendorf is 1699503102 and her current mailing address is 301 5th St, Walhalla, North Dakota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1699503102.
Physician's Profile
| Full Name | Nicole Bettendorf |
|---|
| Gender | Female |
|---|
| Speciality | Family Medicine |
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| Location | 301 5th St, Walhalla, North Dakota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1699503102
- Provider Enumeration Date: 07/25/2024
- Last Update Date: 07/25/2024
Medical Identifiers
Medical identifiers for Nicole Bettendorf such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699503102 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 200264 (North Dakota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Bettendorf is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Nicole Bettendorf, FNP
301 5th St,
Walhalla, ND 58282-4625
Ph: (763) 233-8584 | Nicole Bettendorf, FNP
301 5th St,
Walhalla, ND 58282-4625
Ph: (763) 233-8584 |
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