Stacey Lee Konzak, PA C - Medicare Physician Assistant in Bismarck, ND

Stacey Lee Konzak, PA C is a medicare enrolled "Physician Assistant" in Bismarck, North Dakota. Her current practice location is 2900 E Broadway Ave, Bismarck, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 221-9997.

Stacey Lee Konzak is licensed to practice in North Dakota (license number PAC0348) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1962486969.

Contact Information

Stacey Lee Konzak, PA C
2900 E Broadway Ave,
Bismarck, ND 58501-5112
(701) 221-9997
Not Available



Provider's Profile

Full NameStacey Lee Konzak
GenderFemale
SpecialityPhysician Assistant
Location2900 E Broadway Ave, Bismarck, North Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1962486969
  • Provider Enumeration Date: 12/02/2005
  • Last Update Date: 09/18/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 7113922832
  • Enrollment ID: I20061002000074

Medical Identifiers

Medical identifiers for Stacey Lee Konzak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962486969NPI-NPPES
6825030MedicaidSD
71237MedicaidND

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 0537 (South Dakota)Secondary
363A00000XPhysician Assistant PAC0348 (North Dakota)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. Stacey Lee Konzak 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 AddressPractice Location Address
Stacey Lee Konzak, PA C
5713 80th Ave Ne,
Devils Lake, ND 58301-9657

Ph: (701) 303-0263
Stacey Lee Konzak, PA C
2900 E Broadway Ave,
Bismarck, ND 58501-5112

Ph: (701) 221-9997

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Physician Assistant Nurses in Bismarck, ND

Burton J Mollman, PA-C
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Practice Location: 4401 Coleman St Ste 107, Bismarck, ND 58503
Phone: 701-751-4340    Fax: 701-751-4340
Djaninn Mae Shannon Mckibben, PA-C
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Medicare: Medicare Enrolled
Practice Location: 222 N 7th St, Bismarck, ND 58501
Phone: 701-323-6000    
Tracy L Vearrier, PA-C
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Medicare: Accepting Medicare Assignments
Practice Location: 2520 N 7th St, Bismarck, ND 58503
Phone: 701-223-6595    
Samantha Mollman, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 310 N 10th St, Bismarck, ND 58501
Phone: 701-530-7500    
Kari A Thomas, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 300 N 7th St, Bismarck, ND 58501
Phone: 701-323-6000    
Stacie L Moritz, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1000 E Rosser Ave, Bismarck, ND 58501
Phone: 701-530-6000    Fax: 701-530-6430
Emily M Stevenson, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2603 E Broadway Ave, Bismarck, ND 58501
Phone: 701-323-5222    

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