| Milestone Health Partners, Llc | |
|
205 Main St Williston ND 58801-6020 | |
| (701) 651-6437 | |
| (701) 516-8462 |
| Full Name | Milestone Health Partners, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 205 Main St, Williston, North Dakota |
| Authorized Official Name and Position | Alyssa Suess (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 7017702734 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Milestone Health Partners, Llc 205 Main St Williston ND 58801-6020 Ph: (701) 770-2734 | Milestone Health Partners, Llc 205 Main St Williston ND 58801-6020 Ph: (701) 651-6437 |
| NPI Number | 1942881560 |
|---|---|
| Provider Enumeration Date | 04/15/2021 |
| Last Update Date | 04/15/2021 |
| Certification Date | 04/15/2021 |
| Medicare PECOS PAC ID | 8729483284 |
|---|---|
| Medicare Enrollment ID | O20210820001489 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942881560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Amanda K Erickson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972903896 PECOS PAC ID: 3274849229 Enrollment ID: I20150904001893 |
| Provider Name | Malinda J Kirby |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609224229 PECOS PAC ID: 4981997814 Enrollment ID: I20160729000183 |
| Provider Name | Alyssa Suess |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376919498 PECOS PAC ID: 8921387861 Enrollment ID: I20161116001283 |
| Provider Name | Jana A Pearson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1578995296 PECOS PAC ID: 9830322627 Enrollment ID: I20200902002846 |
| Provider Name | Samantha Rae Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972277523 PECOS PAC ID: 7517355514 Enrollment ID: I20211025001410 |
| Provider Name | Jennifer Mae Qualm |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649903667 PECOS PAC ID: 0547641854 Enrollment ID: I20220718003612 |
| Provider Name | Cierra M Stevens |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1033893789 PECOS PAC ID: 8820456106 Enrollment ID: I20230620000884 |
| Provider Name | Kayana D Trottier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174289441 PECOS PAC ID: 2163812488 Enrollment ID: I20230926003634 |
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