| Amanda J Dircks, NP | |
|
1360 Elm St E, Saint Joseph, MN 56374-4694 | |
| (203) 363-7765 | |
| Not Available |
| Full Name | Amanda J Dircks |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 1360 Elm St E, Saint Joseph, 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 |
|---|---|---|---|
| 1326657255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 195472-8 (Minnesota) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 7608 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Cloud Hospital | Saint cloud, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Centracare Clinic | 2466363395 | 632 |
| Novacare Outpatient Rehabilitation East Inc | 3678480290 | 666 |
| Entity Name | Centracare Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda J Dircks, NP 1360 Elm St E, Saint Joseph, MN 56374-4694 Ph: () - | Amanda J Dircks, NP 1360 Elm St E, Saint Joseph, MN 56374-4694 Ph: (203) 363-7765 |
Samantha Eileen Kolb, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1360 Elm St E, Saint Joseph, MN 56374 Phone: 320-363-7765 | |
Emily J Rath, RN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 37 S. College Ave, Saint Joseph, MN 56374 Phone: 320-363-5605 | |
Mrs. Carol L Holton, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 37 College Ave South, Saint Joseph, MN 56374 Phone: 320-363-5605 Fax: 320-363-6396 | |
Mrs. Taylor Lynne Ricke, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1360 Elm St E, Saint Joseph, MN 56374 Phone: 320-363-7765 | |
Nancy Streng, P/MHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9213 Narcissus Rd, Saint Joseph, MN 56374 Phone: 320-363-0385 | |
Susan A. Heying, RN, CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1360 Elm St E, Saint Joseph, MN 56374 Phone: 320-363-1745 Fax: 320-363-0031 |