Stephanie L Jensen, LRD | |
401 N 9th St, Bismarck, ND 58501-4506 | |
(701) 712-4500 | |
Not Available |
Full Name | Stephanie L Jensen |
---|---|
Gender | Female |
Speciality | Registered Dietitian Or Nutrition Professional |
Experience | 5 Years |
Location | 401 N 9th St, Bismarck, North Dakota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346856002 | NPI | - | NPPES |
45-0311334 | Other | ND | TAX IDENTIFICATION NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 1256 (North Dakota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Innovis Health Llc | 9931298155 | 478 |
Provider Name | Mid Dakota Clinic, Inc. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1275587826 PECOS PAC ID: 9638072895 Enrollment ID: O20040127001063 |
Provider Name | Innovis Health Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1215125463 PECOS PAC ID: 9931298155 Enrollment ID: O20071211000158 |
Mailing Address | Practice Location Address |
---|---|
Stephanie L Jensen, LRD 401 N 9th St, Bismarck, ND 58501-4506 Ph: (701) 712-4940 | Stephanie L Jensen, LRD 401 N 9th St, Bismarck, ND 58501-4506 Ph: (701) 712-4500 |
Paige Scherer, RDN, LRD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 900 E Broadway Ave, Bismarck, ND 58501 Phone: 701-530-7877 Fax: 701-530-7890 | |
Nicole A Enzminger, LRD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 222 N 7th St, Bismarck, ND 58501 Phone: 701-323-6000 Fax: 701-323-5709 | |
Ms. Amanda K Ihmels, LRD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 300 N 7th St, Bismarck, ND 58501 Phone: 701-323-6000 Fax: 701-323-5709 | |
Mikaela Hirst, LRD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 300 N 7th St, Bismarck, ND 58501 Phone: 701-323-6000 | |
Sierra Kolle, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 300 N 7th St, Bismarck, ND 58501 Phone: 701-323-6000 | |
Shelley Porter, LRD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 900 E Broadway Avenue, Bismarck, ND 58501 Phone: 701-530-7000 Fax: 701-530-8842 | |
Michelle Kudrna, RD Dietitian Medicare: Medicare Enrolled Practice Location: 765 W Interstate Ave, Bismarck, ND 58503 Phone: 701-323-5437 |