Ryan Mareck, DNP | |
130 1st St Ne, Richmond, MN 56368 | |
(320) 597-2122 | |
Not Available |
Full Name | Ryan Mareck |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 130 1st St Ne, Richmond, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508344391 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 6053 (Minnesota) | Primary |
207Q00000X | Family Medicine | 651118 (Minnesota) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Centracare Health Paynesville Hospital | Paynesville, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Centracare Health-paynesville Llc | 1153555719 | 28 |
Novacare Outpatient Rehabilitation East Inc | 3678480290 | 666 |
Dermatology Professionals, Pa | 4587753934 | 8 |
Entity Name | Centracare Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
Entity Name | Dermatology Professionals, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720269426 PECOS PAC ID: 4587753934 Enrollment ID: O20071207000626 |
Entity Name | Centracare Health-paynesville Llc |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1205269941 PECOS PAC ID: 1153555719 Enrollment ID: O20131108000012 |
Entity Name | Centracare Health-paynesville Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629402516 PECOS PAC ID: 1153555719 Enrollment ID: O20140909002390 |
Mailing Address | Practice Location Address |
---|---|
Ryan Mareck, DNP 200 W 1st St, Paynesville, MN 56362-1445 Ph: (320) 243-3767 | Ryan Mareck, DNP 130 1st St Ne, Richmond, MN 56368 Ph: (320) 597-2122 |
Miranda R Proell, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 1st St Ne, Richmond, MN 56368 Phone: 320-597-2122 |