Volney L Willett Iii, MD | |
30 7th St W, Suite Ll-50, Dickinson, ND 58601-4335 | |
(701) 483-6974 | |
Not Available |
Full Name | Volney L Willett Iii |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 30 7th St W, Dickinson, North Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912964966 | NPI | - | NPPES |
1469152 | Medicaid | ND | |
1912964966 | Medicaid | ID | |
20000542 | Other | ID | PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | M-11545 (Idaho) | Secondary |
207Q00000X | Family Medicine | 14301 (North Dakota) | Primary |
Entity Name | Trinity Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083653752 PECOS PAC ID: 7911816020 Enrollment ID: O20031106000316 |
Entity Name | St. Joseph's Hospital And Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730464108 PECOS PAC ID: 0547177560 Enrollment ID: O20031107000651 |
Entity Name | First Light Lifestyle Medical Clinic Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801512819 PECOS PAC ID: 4082085402 Enrollment ID: O20230123002662 |
Mailing Address | Practice Location Address |
---|---|
Volney L Willett Iii, MD 30 7th St W Ste Ll-50, Dickinson, ND 58601-4335 Ph: (701) 483-6974 | Volney L Willett Iii, MD 30 7th St W, Suite Ll-50, Dickinson, ND 58601-4335 Ph: (701) 483-6974 |
Christina Jean Shockley, FNP-C, PMHNP-BC Family Medicine Medicare: Medicare Enrolled Practice Location: 135 Sims St Ste 202, Dickinson, ND 58601 Phone: 701-264-9049 Fax: 701-483-4781 | |
Dr. Vanessa Victoria Berg, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 33 9th St W, Dickinson, ND 58601 Phone: 701-483-6017 | |
Dr. Dennis E Wolf, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 33 9th St W, Dickinson, ND 58601 Phone: 701-483-6017 Fax: 701-483-5018 | |
Nicole Marie Wilson Hall, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2615 Fairway St, Dickinson, ND 58601 Phone: 701-456-6000 | |
Terry L Wolf, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 938 2nd Ave W, Dickinson, ND 58601 Phone: 701-456-6000 Fax: 701-667-5048 | |
Danuta Komorowska, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 33 9th St W, Dickinson, ND 58601 Phone: 701-483-6017 Fax: 701-483-5018 | |
Emily Suzanne Eckroth, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2615 Fairway St, Dickinson, ND 58601 Phone: 701-456-6000 |