Prairie Assisted Living Services Llc - Medicare Primary Care in Bismarck, ND

Prairie Assisted Living Services Llc is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Bismarck, North Dakota. The current practice location for Prairie Assisted Living Services Llc is 4914 Amberglow Dr, Bismarck, North Dakota. For appointments, you can reach them via phone at (701) 226-9804. The mailing address for Prairie Assisted Living Services Llc is 4914 Amberglow Dr, Bismarck, North Dakota and phone number is (701) 226-9804.

Prairie Assisted Living Services Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1033475868. 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) 226-9804.

Contact Information

Prairie Assisted Living Services Llc
4914 Amberglow Dr
Bismarck
ND 58503-8851
(701) 226-9804
(701) 751-1307

Primary Care Clinic Profile

Full NamePrairie Assisted Living Services Llc
SpecialityClinic/Center
Location4914 Amberglow Dr, Bismarck, North Dakota
Authorized Official Name and PositionTisha Scheuer (OWNER)
Authorized Official Contact7012269804
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Prairie Assisted Living Services Llc
4914 Amberglow Dr
Bismarck
ND 58503-8851

Ph: (701) 226-9804
Prairie Assisted Living Services Llc
4914 Amberglow Dr
Bismarck
ND 58503-8851

Ph: (701) 226-9804

NPI Details:

NPI Number1033475868
Provider Enumeration Date04/05/2012
Last Update Date05/22/2019

Medicare PECOS Information:

Medicare PECOS PAC ID4082861075
Medicare Enrollment IDO20120827000480

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› Verified 7 days ago

Medical Identifiers

Medical identifiers for Prairie Assisted Living Services Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033475868NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care (* (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. Prairie Assisted Living Services Llc acts as a billing entity for following providers:
Provider NameTisha Scheuer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093292815
PECOS PAC ID: 4789928219
Enrollment ID: I20181210002898

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