Mark James Ziebarth, PMHCNS-BC is a
Nurse Practitioner based in New Brighton, Minnesota. Mark James Ziebarth is licensed to practice in Minnesota (license number R0820659) and his current practice location is
1900 Silver Lake Rd Nw, Suite 110, New Brighton, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(651) 628-9566.
NPI number for Mark James Ziebarth is 1336102763 and his current mailing address is 1900 Silver Lake Rd Nw, Suite 110, New Brighton, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336102763.
Healthcare Provider's Profile
| Full Name | Mark James Ziebarth |
|---|
| Gender | Male |
|---|
| Speciality | Nurse Practitioner |
|---|
| Location | 1900 Silver Lake Rd Nw, New Brighton, Minnesota |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1336102763
- Provider Enumeration Date: 04/07/2006
- Last Update Date: 12/30/2013
Medical Identifiers
Medical identifiers for Mark James Ziebarth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336102763 | NPI | - | NPPES |
| 1011796 | Other | MN | PREFERRED ONE |
| HP25418 | Other | MN | HEALTH PARTNERS |
| 641K1ZI | Other | MN | BCBS |
| 816750801 | Medicaid | MN | |
| 8363352 | Other | | UBH |
| 990991011796 | Other | MN | PREFERRED ONE |
| 208M0Z1 | Other | MN | BCBS |
| 6267250 | Other | MN | UBH |
| 890001087 | Other | | RR MEDICARE |
| 167750 | Other | | BHP UCARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | LP2295 (Minnesota) | Secondary |
| 363L00000X | Nurse Practitioner | R0820659 (Minnesota) | Primary |
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. Mark James Ziebarth is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mark James Ziebarth, PMHCNS-BC
1900 Silver Lake Rd Nw, Suite 110,
New Brighton, MN 55112-1786
Ph: (651) 628-9566 | Mark James Ziebarth, PMHCNS-BC
1900 Silver Lake Rd Nw, Suite 110,
New Brighton, MN 55112-1786
Ph: (651) 628-9566 |
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