Susan Elizabeth Stark, | |
5211 Highway 110, Essentia Heatlh Northern Pines Clinic, Aurora, MN 55705-1522 | |
(218) 229-3311 | |
Not Available |
Full Name | Susan Elizabeth Stark |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 11 Years |
Location | 5211 Highway 110, Aurora, Minnesota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598105694 | NPI | - | NPPES |
1598105694 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R153102-8 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Essentia Health St Marys Hospice & Palliative Care | Duluth, MN | Hospice |
Essentia Health Northern Pines Medical Center | Aurora, MN | Hospital |
Essentia Health Virginia | Virginia, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northern Pines Medical Center | 3870565641 | 20 |
Entity Name | The Duluth Clinic Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902563638 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000229 |
Entity Name | St Marys Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457393035 PECOS PAC ID: 6901706357 Enrollment ID: O20040112000118 |
Entity Name | Northern Pines Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639278609 PECOS PAC ID: 3870565641 Enrollment ID: O20040811000988 |
Mailing Address | Practice Location Address |
---|---|
Susan Elizabeth Stark, 5211 Highway 110, Essentia Health Northern Pines Clinic, Aurora, MN 55705-1522 Ph: (218) 229-3311 | Susan Elizabeth Stark, 5211 Highway 110, Essentia Heatlh Northern Pines Clinic, Aurora, MN 55705-1522 Ph: (218) 229-3311 |
Mr. David Michael Rokser, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5211 Highway 110, Aurora, MN 55705 Phone: 218-229-3311 | |
Ann Marie Westbrook Vreeland, RN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 405 W 3rd Ave N, Aurora, MN 55705 Phone: 218-229-3311 |