Jessica R Wichmann (NPI# 1326373317, PAC ID# 5890837306) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1326373317 |
| PAC ID by PECOS | 5890837306 |
| Professional Enrollment ID | I20100121000725 |
| Full Name | Jessica R Wichmann |
| Organization Legal Name | PETERSON MEDICAL CLINICS LLC |
| Address |
519 Anne St Nw Suite A Bemidji MN 56601-4277 |
| Phone Number | 2184447013 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9335412220 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 350019 | ALTRU HOSPITAL |
| 241381 | SANFORD THIEF RIVER FALLS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 519 Anne St Nw, Suite A, Bemidji, MN 56601-4277 | 2184447013 | PETERSON MEDICAL CLINICS LLC |
| 1451 44th Ave S, Suite A, Grand Forks, ND 58201-3434 | 7017322700 | NORTHLAND FAMILY PHYSICIANS LLC |
| 1451 44th Ave S, Suite A, Grand Forks, ND 58201-3434 | 7017322516 | PETERSON MEDICAL CLINICS LLC |
| 2650 32nd Ave S, Suite D, Grand Forks, ND 58201-6541 | 7017322710 | AURORA URGENT CARE LLC |
| Organization Legal Name | PETERSON MEDICAL CLINICS LLC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Riki Hehe-amai Gifford-ferguson | Physician Assistant | Peterson Medical Clinics LLC | 316 Park Ave Se, Renville, MN 56284-2470 |
| David B Eberly | Physician Assistant | Peterson Medical Clinics LLC | 519 Anne St Nw, Suite A, Bemidji, MN 56601-4277 |
| Timothy A Peterson | Family Medicine | Peterson Medical Clinics LLC | 1202 23rd St S, Suite 3, Fargo, ND 58103-2951 |
| Megan Marie Weddingfeld | Nurse Practitioner | Peterson Medical Clinics LLC | 1202 23rd St S, Suite 3, Fargo, ND 58103-2951 |
| Thomas M Peterson | Psychiatry | Peterson Medical Clinics LLC | 1451 44th Ave S, Suite A, Grand Forks, ND 58201-3434 |
| Natasha Marie Krebs | Nurse Practitioner | Peterson Medical Clinics LLC | 1451 44th Ave S, Suite A, Grand Forks, ND 58201-3434 |
| Katie M Allen | Clinical Social Worker | Peterson Medical Clinics LLC | 1202 23rd St S, Suite 3, Fargo, ND 58103-2951 |
| Mio Watanabe | Physician Assistant | Peterson Medical Clinics LLC | 515 Bridge St, Park Rapids, MN 56470-1210 |
| Faith Murray-taylor | Nurse Practitioner | Peterson Medical Clinics LLC | 103 Fram St, Petersburg, AK 99833 |
| Kimber-lee Osowski | Clinical Social Worker | Peterson Medical Clinics LLC | 1451 44th Ave S, Suite A, Grand Forks, ND 58201-3434 |
| Street Address |
519 ANNE ST NW SUITE A |
| City | BEMIDJI |
| State | MN |
| Zip | 56601-4277 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David B Eberly | Physician Assistant | Peterson Medical Clinics LLC | 519 Anne St Nw, Suite A, Bemidji, MN 56601-4277 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael T Hill | Psychologist, Clinical | Sanford Health of Northern Minnesota | 722 15th St Nw, Bemidji, MN 56601-2528 |
| Kimberly Js Avenson | Clinical Social Worker | Sanford Health of Northern Minnesota | 722 15th St Nw, Bemidji, MN 56601-2528 |
| Julie L Paulson | Clinical Social Worker | Sanford Health of Northern Minnesota | 722 15th St Nw, Bemidji, MN 56601-2528 |
| Megan S Hansen | Clinical Social Worker | Sanford Health of Northern Minnesota | 722 15th St Nw, Bemidji, MN 56601-2528 |
| Sarah C Weinzierl | Psychologist, Clinical | Sanford Health of Northern Minnesota | 722 15th St Nw, Bemidji, MN 56601-2528 |
| Catherine A Sorensen | Clinical Social Worker | Sanford Health of Northern Minnesota | 722 15th St Nw, Bemidji, MN 56601-2528 |
| Tami D Lindell | Nurse Practitioner | 702 5th St Nw, Bemidji, MN 56601-2976 | |
| Tamara Lonelle Mason | Clinical Social Worker | 522 Beltrami Ave Nw, Suite 108, Bemidji, MN 56601-3002 | |
| Ragna Adair Godtland | Optometry | Sanford Health of Northern Minnesota | 506 Beltrami Ave Nw, Bemidji, MN 56601-3010 |
| Diane M Pittman | Emergency Medicine | 514 Beltrami Ave Nw, Suite 102, Bemidji, MN 56601-3010 | |
| Find all physicians in zip 56601 | |||
| City | BEMIDJI |
| Zip Code | 56601 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BEMIDJI + PHYSICIAN ASSISTANT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.