- Medicare Primary Care in Watford City, ND

  1. Home
  2. Primary Care Clinics
  3. ND
  4. Watford City
is a medicare enrolled primary clinic (Clinic/center) in Watford City, North Dakota. The current practice location for is 709 4th Ave Ne, Watford City, North Dakota. For appointments, you can reach them via phone at (701) 842-3771. The mailing address for is 709 4th Ave Ne, Watford City, North Dakota and phone number is (701) 842-3771.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1063420495. 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) 842-3771.

Contact Information

709 4th Ave Ne
Watford City
ND 58854-7628
(701) 842-3771
(701) 842-4025

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location709 4th Ave Ne, Watford City, North Dakota
Authorized Official Name and PositionPeter Edis (CEO)
Authorized Official Contact7014448609
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

709 4th Ave Ne
Watford City
ND 58854-7628

Ph: (701) 842-3771
709 4th Ave Ne
Watford City
ND 58854-7628

Ph: (701) 842-3771

NPI Details:

NPI Number1063420495
Provider Enumeration Date08/03/2006
Last Update Date06/09/2023

Medicare PECOS Information:

Medicare PECOS PAC ID5890768006
Medicare Enrollment IDO20040817000016

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063420495NPI-NPPES
720528MedicaidMT
6340001OtherNDBLUE CROSS BLUE SHIELD
13173MedicaidND
MD421NDMedicaidAL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (* (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 NameStephen L Mcdonough
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1912019480
PECOS PAC ID: 5294631529
Enrollment ID: I20031209000289
Provider NameDenise M Mcdonough
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1417069089
PECOS PAC ID: 3274439021
Enrollment ID: I20031211000335
Provider NameKathryn M Kovar
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1598795767
PECOS PAC ID: 6800792490
Enrollment ID: I20031212000513
Provider NameEnder G Raghib
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1629155643
PECOS PAC ID: 6709785850
Enrollment ID: I20040107000723
Provider NameDavid C Geier
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1649273913
PECOS PAC ID: 1557255841
Enrollment ID: I20040209000867
Provider NameSheldon L Swenson
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1104830298
PECOS PAC ID: 2769372408
Enrollment ID: I20040317000778
Provider NameConnie M Ebach
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053417493
PECOS PAC ID: 1759379258
Enrollment ID: I20040504000454
Provider NameGary W Ramage
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1184645533
PECOS PAC ID: 8325013857
Enrollment ID: I20040830000042
Provider NameRavindra P Joshi
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1477551422
PECOS PAC ID: 6608835194
Enrollment ID: I20041112001126
Provider NameWalter L Novey
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1558306530
PECOS PAC ID: 6002701331
Enrollment ID: I20061106000191
Provider NameRichard A Howard
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1447249255
PECOS PAC ID: 3678552452
Enrollment ID: I20070420000561
Provider NameCraig Donald Smith
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1275602740
PECOS PAC ID: 7214021864
Enrollment ID: I20070913000533
Provider NameWalter T Coombe
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1639196454
PECOS PAC ID: 0042310625
Enrollment ID: I20070926000535
Provider NameCorey J Samuelson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1649454307
PECOS PAC ID: 3678655677
Enrollment ID: I20080130000162
Provider NameGregory L Culver
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1750307740
PECOS PAC ID: 0840395869
Enrollment ID: I20091006000154
Provider NameLeszek J Jaszczak
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1467528455
PECOS PAC ID: 1456243922
Enrollment ID: I20120131000574
Provider NameMarisa Albertson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1710117312
PECOS PAC ID: 4486805736
Enrollment ID: I20121113000762
Provider NameLeah M Brewster
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598104119
PECOS PAC ID: 6507008703
Enrollment ID: I20130819000559
Provider NameCherry A Mcgrath
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689926727
PECOS PAC ID: 3476776154
Enrollment ID: I20140527001835
Provider NameTracy B Tomjack
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1508179854
PECOS PAC ID: 4981829314
Enrollment ID: I20140627000620
Provider NameJerel J Brandt
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1104051101
PECOS PAC ID: 8426276585
Enrollment ID: I20140902002215
Provider NameJessica Marie Comeau
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073917480
PECOS PAC ID: 7810118122
Enrollment ID: I20141029001459
Provider NameRylan Brantl
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1013178326
PECOS PAC ID: 0648595983
Enrollment ID: I20150209002090
Provider NameRobert J Bates
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1538164231
PECOS PAC ID: 8628158714
Enrollment ID: I20150831000714
Provider NameGillian E Lavik
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1659690618
PECOS PAC ID: 2668603747
Enrollment ID: I20150930001711
Provider NameJodell J Schmidt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619482080
PECOS PAC ID: 9830450030
Enrollment ID: I20180305001106
Provider NameDanielle L Kiedrowski
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1205337888
PECOS PAC ID: 2860754538
Enrollment ID: I20180315002149
Provider NameCynthia L Wald
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912498593
PECOS PAC ID: 7719237932
Enrollment ID: I20180910003123
Provider NameLucinda L Mundorf
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1497732374
PECOS PAC ID: 7810913951
Enrollment ID: I20190311001651
Provider NameCimberly Faye Berg
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497224224
PECOS PAC ID: 4385977172
Enrollment ID: I20190611000331
Provider NameWorku A Metaferia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437500972
PECOS PAC ID: 1557640158
Enrollment ID: I20190821002670
Provider NameAmy J Guzman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306495072
PECOS PAC ID: 7517298086
Enrollment ID: I20191015000256
Provider NameWannapak Richter
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1811418684
PECOS PAC ID: 7719310085
Enrollment ID: I20191130000111
Provider NameMichelle L Lopez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679852917
PECOS PAC ID: 6800050865
Enrollment ID: I20191211000948
Provider NameDean P J Williams
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1104841501
PECOS PAC ID: 6103721758
Enrollment ID: I20200411000296
Provider NameAnna Elizabeth Wolf
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740822584
PECOS PAC ID: 3870914161
Enrollment ID: I20200521001565
Provider NameMaria Marchenko
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1821248451
PECOS PAC ID: 1456539980
Enrollment ID: I20200527002309
Provider NameOsmany Duany
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1578792412
PECOS PAC ID: 6305083924
Enrollment ID: I20200527002510
Provider NameMckayla Haugeberg
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1184241507
PECOS PAC ID: 5890114748
Enrollment ID: I20200928001066
Provider NameLisa M Sanford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740896828
PECOS PAC ID: 7416377122
Enrollment ID: I20201019002887
Provider NameLee Kiedrowski
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1962997338
PECOS PAC ID: 5890107429
Enrollment ID: I20201223001300
Provider NameCraig I Goldstein
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1417064189
PECOS PAC ID: 0143205195
Enrollment ID: I20210120002386
Provider NameHaseeb B Kazim
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1346273786
PECOS PAC ID: 5092841049
Enrollment ID: I20210304002721
Provider NameChristina Shockley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043824501
PECOS PAC ID: 8921033291
Enrollment ID: I20210315002348
Provider NameVincent Adjetey
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1093200420
PECOS PAC ID: 4284033622
Enrollment ID: I20210604000820
Provider NameAngela R Ekblad
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144852070
PECOS PAC ID: 6305246539
Enrollment ID: I20210609003474
Provider NameJennifer J Arnhold
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1043283203
PECOS PAC ID: 7810940665
Enrollment ID: I20210730000991
Provider NameAlexis Barten
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1104030915
PECOS PAC ID: 4284729955
Enrollment ID: I20210806001102
Provider NameJessica Mastrapa
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1649698986
PECOS PAC ID: 7719103662
Enrollment ID: I20211001001984
Provider NameHeather Leann Bowen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851982334
PECOS PAC ID: 6901213495
Enrollment ID: I20211011000400
Provider NameJade A Kelling
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366179509
PECOS PAC ID: 9234505090
Enrollment ID: I20221019000874
Provider NamePaul Dearing
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1497789093
PECOS PAC ID: 7012968571
Enrollment ID: I20221104000746
Provider NameStephen Vanwylen
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1437115565
PECOS PAC ID: 1850336272
Enrollment ID: I20221110002174
Provider NameJessica Robinson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1497995880
PECOS PAC ID: 7810295516
Enrollment ID: I20221215000949
Provider NameAmy Roden
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184013153
PECOS PAC ID: 2860713807
Enrollment ID: I20230105002309
Provider NameTrevor Thorpe
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1710482740
PECOS PAC ID: 0143583575
Enrollment ID: I20230321000799
Provider NameDean T Langenfeld
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1972896447
PECOS PAC ID: 4486939964
Enrollment ID: I20230426002788
Provider NameLuke Cutherell
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1619975216
PECOS PAC ID: 5991806986
Enrollment ID: I20231212003423
Provider NameSarah Jane Israelson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1922098581
PECOS PAC ID: 3577471192
Enrollment ID: I20240208004432
Provider NameLiza Ystaas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124646146
PECOS PAC ID: 5597182279
Enrollment ID: I20240213004753
Provider NameLisa Marie Breiterman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053670968
PECOS PAC ID: 8921250895
Enrollment ID: I20240215003965
Provider NameNicholas Finlinson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1376017459
PECOS PAC ID: 8729329842
Enrollment ID: I20240216004068
Provider NameLexyn J Henderson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1568020220
PECOS PAC ID: 6901130293
Enrollment ID: I20240229000946
Provider NamePhilomena Cunningham
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427547561
PECOS PAC ID: 8628326873
Enrollment ID: I20240430004219
Provider NameBrett Lawlor
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1063403848
PECOS PAC ID: 3274432885
Enrollment ID: I20240503003566
Provider NameAmier Ahmad
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1689061897
PECOS PAC ID: 8224359807
Enrollment ID: I20240507001856
Provider NameKelsey Louise Kuehn
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1295465102
PECOS PAC ID: 0244671972
Enrollment ID: I20240513003001
Provider NameCarol Uhlman
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1932183902
PECOS PAC ID: 4981504826
Enrollment ID: I20240522000014
Provider NameRalph Cepero
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1952379414
PECOS PAC ID: 7618990623
Enrollment ID: I20240612001874
Provider NameEdwin Thomas Mcgroarty
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1891767299
PECOS PAC ID: 2860442514
Enrollment ID: I20240702004527
Provider NameJoseph Reyna
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1033654835
PECOS PAC ID: 9133403462
Enrollment ID: I20240722000654
Provider NameJohn Ludlow
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1710927728
PECOS PAC ID: 4880608330
Enrollment ID: I20240823000270
Provider NameTeinesha Irvey
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1912361791
PECOS PAC ID: 9931532553
Enrollment ID: I20240828001172
Provider NameLillian Decosimo
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1336119783
PECOS PAC ID: 0749241255
Enrollment ID: I20240913002166
Provider NameSarah Gordon
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1255625430
PECOS PAC ID: 1456577535
Enrollment ID: I20240913002278
Provider NameFatu Forna
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1417125493
PECOS PAC ID: 5496717548
Enrollment ID: I20240918002506
Provider NameRiley Rae Veis
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1356186894
PECOS PAC ID: 3375075260
Enrollment ID: I20241016003799
Provider NameAndrea Dimichele-manes
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1689774788
PECOS PAC ID: 1850493321
Enrollment ID: I20241107003977
Provider NameJustin Waco Goodnight
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1861719148
PECOS PAC ID: 3072926278
Enrollment ID: I20241108003510
Provider NameCyril Kuriakose
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1255536181
PECOS PAC ID: 2062683725
Enrollment ID: I20241113001519
Provider NameChad Pedersen
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1881857019
PECOS PAC ID: 6800065137
Enrollment ID: I20241120000835
Provider NameJenna Kennedy Sloan
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1831532167
PECOS PAC ID: 3476834524
Enrollment ID: I20241121004267
Provider NameBruce Suckling
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1891749495
PECOS PAC ID: 7618961863
Enrollment ID: I20241212000593

Reviews and Comments


Clinic/Center in Watford City, ND

Mckenzie County Healthcare Systems Inc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 525 N Main St, Watford City, ND 58854
Phone: 701-842-6470    Fax: 701-842-3807
Innovative Health
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 340 N Main St Ste 311, Watford City, ND 58854
Phone: 701-444-2888    Fax: 701-444-2813

Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 709 4th Ave Ne, Watford City, ND 58854
Phone: 701-842-3771    Fax: 701-842-4025
Anova Family Health Center Inc.
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 113 Main Street South, Watford City, ND 58854
Phone: 701-842-6400    Fax: 701-842-6403

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.