Mariah Lee Suess, CNP | |
401 W Glynn Dr, Parkston, SD 57366-9605 | |
(605) 928-3311 | |
(605) 928-7368 |
Full Name | Mariah Lee Suess |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 401 W Glynn Dr, Parkston, South Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518692524 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | CP002467 (South Dakota) | Primary |
163W00000X | Registered Nurse | R048313 (South Dakota) | Secondary |
Entity Name | St Benedict Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295758266 PECOS PAC ID: 4880507672 Enrollment ID: O20040129001118 |
Entity Name | St Benedict Health Center |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1356443725 PECOS PAC ID: 4880507672 Enrollment ID: O20061104000310 |
Mailing Address | Practice Location Address |
---|---|
Mariah Lee Suess, CNP 401 W Glynn Dr, Parkston, SD 57366-9605 Ph: (605) 928-3311 | Mariah Lee Suess, CNP 401 W Glynn Dr, Parkston, SD 57366-9605 Ph: (605) 928-3311 |
Vicki Lubbers, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 W Glynn Dr, Parkston, SD 57366 Phone: 605-928-3311 Fax: 605-928-7368 | |
Lindsay Rae Weber, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 W Glynn Dr, Parkston, SD 57366 Phone: 605-928-3311 Fax: 605-928-7368 |