Mary Jo Wicks, NP | |
938 2nd Ave W, Dickinson, ND 58601-3916 | |
(701) 456-6000 | |
(701) 456-6101 |
Full Name | Mary Jo Wicks |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 938 2nd Ave 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 |
---|---|---|---|
1407952542 | NPI | - | NPPES |
19746 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R26972 (North Dakota) | Primary |
Entity Name | St. Joseph's Hospital And Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730464108 PECOS PAC ID: 0547177560 Enrollment ID: O20031107000651 |
Mailing Address | Practice Location Address |
---|---|
Mary Jo Wicks, NP Po Box 5501, Bismarck, ND 58506-5501 Ph: (701) 323-6000 | Mary Jo Wicks, NP 938 2nd Ave W, Dickinson, ND 58601-3916 Ph: (701) 456-6000 |
Crystal Jean Sullivan, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 Fairway St, Dickinson, ND 58601 Phone: 701-456-4200 | |
Chandra Jo Urlacher, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2615 Fairway St, Dickinson, ND 58601 Phone: 701-456-6000 | |
Megan Gietzen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 30 7th St W, Dickinson, ND 58601 Phone: 701-483-6666 Fax: 701-483-6667 | |
Erica Wald, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2615 Fairway St, Dickinson, ND 58601 Phone: 701-456-6000 | |
Paige Hood, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 30 7th St W, Dickinson, ND 58601 Phone: 701-483-6666 Fax: 701-483-6667 | |
Mrs. Karen Ingrid Swanson, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 30 7th St W, Dickinson, ND 58601 Phone: 701-456-4000 | |
Joann Marie Nupen Lindemann, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2615 Fairway St, Dickinson, ND 58601 Phone: 701-456-6000 |