- Medicare Primary Care in Park River, ND

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is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Park River, North Dakota. The current practice location for is 115 Vivian St., Park River, North Dakota. For appointments, you can reach them via phone at (701) 284-7555. The mailing address for is Po Box I, 115 Vivian St., Park River, North Dakota and phone number is (701) 284-7555.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1306850706. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (701) 284-7555.

Contact Information

115 Vivian St.
Park River
ND 58270-4540
(701) 284-7555
(701) 284-4605

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location115 Vivian St., Park River, North Dakota
Authorized Official Name and PositionLouise Dryburgh (CEO)
Authorized Official Contact7012847500
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

Po Box I
115 Vivian St.
Park River
ND 58270-0708

Ph: (701) 284-7555
115 Vivian St.
Park River
ND 58270-4540

Ph: (701) 284-7555

NPI Details:

NPI Number1306850706
Provider Enumeration Date07/28/2006
Last Update Date11/27/2007

Medicare PECOS Information:

Medicare PECOS PAC ID0840102760
Medicare Enrollment IDO20040426000229

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306850706NPI-NPPES
D05074MedicaidND

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM1300XClinic/center - Multi-specialty (* (Not Available))Secondary
261QR1300XClinic/center - Rural Health (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameInder V Khokha
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1225089949
PECOS PAC ID: 5698669844
Enrollment ID: I20040210000422
Provider NameWilliam F Wosick
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1700808375
PECOS PAC ID: 1254228679
Enrollment ID: I20040301001239
Provider NameMirza B Baig
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1265404073
PECOS PAC ID: 6709772833
Enrollment ID: I20060330000342
Provider NameJoel J Johnson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1528138542
PECOS PAC ID: 9830220888
Enrollment ID: I20100708000429
Provider NameMandi L Johnson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1639374960
PECOS PAC ID: 8022205855
Enrollment ID: I20101206001256
Provider NameRonald J Brockman
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1851498638
PECOS PAC ID: 1456361971
Enrollment ID: I20111208000792
Provider NameJoshua Johnson
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1811127905
PECOS PAC ID: 7416081591
Enrollment ID: I20220902001294
Provider NameDennis Heaton
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1144453978
PECOS PAC ID: 6901944669
Enrollment ID: I20230919001122
Provider NameBradley John Otto
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1841649084
PECOS PAC ID: 6800189697
Enrollment ID: I20240216001882
Provider NameAlexandria Skyrud
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497591408
PECOS PAC ID: 8921547910
Enrollment ID: I20240821004949

Reviews and Comments


Clinic/Center in Park River, ND

Physician Management Services Of North Dakota, Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 115 Vivian St, Park River, ND 58270
Phone: 888-829-8550    

Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 503 Park St W Ste B, Park River, ND 58270
Phone: 701-284-6663    Fax: 701-284-6923

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.