Petra Thysell, MSW | |
520 3rd St Nw, Jamestown, ND 58401-2968 | |
(701) 253-6300 | |
Not Available |
Full Name | Petra Thysell |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 520 3rd St Nw, Jamestown, North Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508329574 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Entity Name | Providence Health & Services Mt |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144319138 PECOS PAC ID: 6608786306 Enrollment ID: O20031229000787 |
Mailing Address | Practice Location Address |
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Petra Thysell, MSW 1700 S Assembly St Ste 300, Spokane, WA 99224-2116 Ph: (509) 892-9241 | Petra Thysell, MSW 520 3rd St Nw, Jamestown, ND 58401-2968 Ph: (701) 253-6300 |
Chelsea Modlin, LSCW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 520 3rd St Nw, Jamestown, ND 58401 Phone: 701-253-6300 Fax: 701-253-6400 | |
John Joseph Weber, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 520 3rd St Nw, Jamestown, ND 58401 Phone: 701-253-6308 Fax: 701-253-6400 | |
Tim Hart, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 520 3rd St Nw, Box 2055, Jamestown, ND 58401 Phone: 701-253-6300 Fax: 701-253-6400 | |
Mr. Dennis O Anderson, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 520 3rd St Nw, Jamestown, ND 58402 Phone: 701-253-6300 Fax: 701-253-6400 | |
Michael A Haukaas, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 520 3rd St Nw, Jamestown, ND 58401 Phone: 701-253-6300 Fax: 701-253-6308 | |
Ms. Susan Jean Anderson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2605 Circle Dr, Jamestown, ND 58401 Phone: 701-253-3826 |