Lifeways - Medicare Primary Care in Bismarck, ND

Lifeways is a medicare enrolled primary clinic (Clinic/center) in Bismarck, North Dakota. The current practice location for Lifeways is 1001 Gateway Avenue, Bismarck, North Dakota. For appointments, you can reach them via phone at (701) 751-3271. The mailing address for Lifeways is 1001 Gateway Avenue, Bismarck, North Dakota and phone number is () -.

Lifeways is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1053360594. 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) 751-3271.

Contact Information

Lifeways
1001 Gateway Avenue
Bismarck
ND 58503
(701) 751-3271
Not Available

Primary Care Clinic Profile

Full NameLifeways
SpecialityClinic/Center
Location1001 Gateway Avenue, Bismarck, North Dakota
Authorized Official Name and PositionJason Dean Dockter (MANAGER)
Authorized Official Contact7012589848
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lifeways
1001 Gateway Avenue
Bismarck
ND 58503

Ph: () -
Lifeways
1001 Gateway Avenue
Bismarck
ND 58503

Ph: (701) 751-3271

NPI Details:

NPI Number1053360594
Provider Enumeration Date05/10/2006
Last Update Date02/08/2010

Medicare PECOS Information:

Medicare PECOS PAC ID4284646332
Medicare Enrollment IDO20060608000151

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Medical Identifiers

Medical identifiers for Lifeways such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053360594NPI-NPPES
13425MedicaidND
19837MedicaidND

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice (* (Not Available))Secondary
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. Lifeways acts as a billing entity for following providers:
Provider NameAnthony Keith Mitterling
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1093242471
PECOS PAC ID: 6002186244
Enrollment ID: I20170721000676

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Provider NameMichelle M Peake
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1811173834
PECOS PAC ID: 8527092659
Enrollment ID: I20180209000507

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Provider NameAlicia D Hansen
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1518372408
PECOS PAC ID: 3274965462
Enrollment ID: I20191108000459

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Provider NameAmber J Thomas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295335727
PECOS PAC ID: 7113338294
Enrollment ID: I20201120001103

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Clinic/Center in Bismarck, ND

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Medicare: Medicare Enrolled
Practice Location: 3100 Moonstone Ln, Bismarck, ND 58503
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Practice Location: 705 E Main Ave, Bismarck, ND 58501
Phone: 701-226-4432    

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