Brent Wiederholt, NP-C - Medicare Nurse Practitioner in Fort Yates, ND

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Brent Wiederholt, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Fort Yates, North Dakota. He graduated from nursing school in 2015 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. His current practice location is N10 North River Road, Fort Yates, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 854-3831.

Brent Wiederholt is licensed to practice in South Dakota (license number SD-CNP CP000967) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1588825723.

Contact Information

Brent Wiederholt, NP-C
N10 North River Road,
Fort Yates, ND 58538
(701) 854-3831
Not Available

Map and Direction




Provider's Profile

Full NameBrent Wiederholt
GenderMale
SpecialityNurse Practitioner
Experience10 Years
LocationN10 North River Road, Fort Yates, North Dakota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Brent Wiederholt graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1588825723
  • Provider Enumeration Date: 06/20/2008
  • Last Update Date: 07/23/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 7517252489
  • Enrollment ID: I20160817001883

Medical Identifiers

Medical identifiers for Brent Wiederholt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588825723NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WE0003XRegistered Nurse - Emergency R033677 (South Dakota)Secondary
363LF0000XNurse Practitioner - Family SD-CNP CP000967 (South Dakota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sanford Medical Center BismarckBismarck, NDHospital

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Brent Wiederholt allows following entities to bill medicare on his behalf.
Entity NameFort Yates Indian Health Service
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710037288
PECOS PAC ID: 9032287008
Enrollment ID: O20090116000441

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. Brent Wiederholt is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Brent Wiederholt, NP-C
Po Box J,
Fort Yates, ND 58538-0527

Ph: (701) 854-3831		Brent Wiederholt, NP-C
N10 North River Road,
Fort Yates, ND 58538

Ph: (701) 854-3831

Reviews and Comments


Nurse Practitioner Nurses in Fort Yates, ND

Robbi Allyn Yellow, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: N10 North River Road, Fort Yates, ND 58538
Phone: 701-854-3831    Fax: 701-854-3685
Christine E Rosheim, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 10 N River Road, Fort Yates, ND 58538
Phone: 701-854-3831    Fax: 701-854-3614

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.