Wyatt I Mitzel, PA-C in Fargo, ND - Medicare Physician Assistant

Wyatt I Mitzel, PA-C is a medicare enrolled "Physician Assistant" in Fargo, North Dakota. He graduated from nursing school in 2001 and has 23 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Innovis Health Llc and his current practice location is 3000 32nd Ave S, Fargo, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 364-8000.

Wyatt I Mitzel is licensed to practice in North Dakota (license number PAC0269) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1770518599.

Contact Information

	Wyatt I Mitzel, PA-C
	3000 32nd Ave S, Fargo, ND 58103-6132
	(701) 364-8000
	(701) 364-8078

Map and Direction

Provider's Profile

Full Name	Wyatt I Mitzel
Gender	Male
Speciality	Physician Assistant
Experience	23 Years
Location	3000 32nd Ave S, Fargo, North Dakota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Wyatt I Mitzel graduated from nursing school in 2001

NPI Data:

NPI Number: 1770518599
Provider Enumeration Date: 07/11/2006
Last Update Date: 07/10/2019

Medicare PECOS Information:

PECOS PAC ID: 1355430646
Enrollment ID: I20071210000503

Medical Identifiers

Medical identifiers for Wyatt I Mitzel such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770518599	NPI	-	NPPES
084985500	Medicaid	ND
0113521	Other	ND	MEDICA #
21288	Other	ND	NDBS #
49G81MI	Other	ND	MNBS #
DA9011029348	Other	ND	PREFERRED ONE #
0113522	Other	ND	MEDICA #
1783342	Other	ND	AMERICA'S PPO/ARAZ #
HP38584	Other	ND	HEALTHPARTNERS #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PAC0269 (North Dakota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Essentia Health	Fargo, ND	Hospital
Essentia Health St Marys - Detroit Lakes	Detroit lakes, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Innovis Health Llc	9931298155	478

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. Wyatt I Mitzel 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
Wyatt I Mitzel, PA-C 400 E 3rd St, Duluth, MN 55805-1951 Ph: () -	Wyatt I Mitzel, PA-C 3000 32nd Ave S, Fargo, ND 58103-6132 Ph: (701) 364-8000

Reviews and Comments

Physician Assistant Nurses in Fargo, ND

Dana L Stegmiller, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2400 32nd Ave S, Fargo, ND 58103 Phone: 701-234-8830 Fax: 701-234-8950
Susan K Falck, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 700 1st Ave S, Fargo, ND 58103 Phone: 701-234-4036
Cherie Lynn Dowell, MPAS Physician Assistant Medicare: Medicare Enrolled Practice Location: 2586 Pacific Dr S, Fargo, ND 58103 Phone: 701-715-6286
Phillip Andrew Dewey, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1720 University Dr S, Fargo, ND 58103 Phone: 701-417-6000
Kathryn Gray, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4450 31st Ave S Ste 102, Fargo, ND 58104 Phone: 701-280-2033 Fax: 701-232-5578
Taylor Fontaine, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1800 21st Ave S, Fargo, ND 58103 Phone: 701-365-8700 Fax: 701-365-8701
Caitlyn R Cameron, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4110 51st Ave South, Fargo, ND 58104 Phone: 701-364-3160

Wyatt I Mitzel, PA-C - Medicare Physician Assistant in Fargo, ND