Mio Watanabe, PA-C in Grand Forks, ND - Medicare Physician Assistant

Mio Watanabe, PA-C is a medicare enrolled "Physician Assistant" in Grand Forks, North Dakota. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Peterson Medical Clinics Llc, Peterson Medical Clinics Llc, Peterson Medical Clinics Llc, Yukon-kuskokwim Health Corporation and her current practice location is 4700 S Washington St Ste G, Grand Forks, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 205-3000.

Mio Watanabe is licensed to practice in North Dakota (license number PAC0794) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1730695412.

Contact Information

	Mio Watanabe, PA-C
	4700 S Washington St Ste G, Grand Forks, ND 58201-8123
	(701) 205-3000
	(701) 732-2501

Map and Direction

Provider's Profile

Full Name	Mio Watanabe
Gender	Female
Speciality	Physician Assistant
Experience	7 Years
Location	4700 S Washington St Ste G, Grand Forks, North Dakota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mio Watanabe graduated from nursing school in 2017

NPI Data:

NPI Number: 1730695412
Provider Enumeration Date: 12/18/2017
Last Update Date: 04/02/2020

Medicare PECOS Information:

PECOS PAC ID: 4789943036
Enrollment ID: I20180115000092

Medical Identifiers

Medical identifiers for Mio Watanabe such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730695412	NPI	-	NPPES
1693549	Medicaid	AK
1730695412	Medicaid	MN
1478025	Medicaid	ND

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	105968801206 (Utah)	Secondary
363A00000X	Physician Assistant	13106 (Minnesota)	Secondary
363A00000X	Physician Assistant	141585 (Alaska)	Secondary
363A00000X	Physician Assistant	PAC0794 (North Dakota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Peterson Medical Clinics Llc	9335412220	51
Peterson Medical Clinics Llc	9335412220	51
Peterson Medical Clinics Llc	9335412220	51
Yukon-kuskokwim Health Corporation	5193718765	77

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. Mio Watanabe 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 Address	Practice Location Address
Mio Watanabe, PA-C Po Box 5210, Grand Forks, ND 58206-5210 Ph: (701) 205-3000	Mio Watanabe, PA-C 4700 S Washington St Ste G, Grand Forks, ND 58201-8123 Ph: (701) 205-3000

Reviews and Comments

Physician Assistant Nurses in Grand Forks, ND

Ms. Devon Nicole Anderson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4700 S Washington St Ste G, Grand Forks, ND 58201 Phone: 701-205-3000 Fax: 701-732-2501
Joshua Balint, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 4700 S Washington St Ste G, Grand Forks, ND 58201 Phone: 701-205-3000
Hannah Lee O'grady, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4700 S Washington St Ste G, Grand Forks, ND 58201 Phone: 701-205-3000 Fax: 701-732-2501
Ruth Ann Green, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4440 S Washington St. - Altru Professional Center, Grand Forks, ND 58201 Phone: 701-732-7600
Monica A. Lamm, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1200 S Columbia Rd - Altru Hospital, Grand Forks, ND 58201 Phone: 701-780-6000
Kele Ferreira, Physician Assistant Medicare: Medicare Enrolled Practice Location: 4700 S Washington St Ste G, Grand Forks, ND 58201 Phone: 701-205-3000 Fax: 701-732-2501
Agatha J Ottem Lill, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4440 S Washington St, Grand Forks, ND 58201 Phone: 701-732-7000

Mio Watanabe, PA-C - Medicare Physician Assistant in Grand Forks, ND