Jerold Elsen, is a
Massage Therapist based in Spooner, Wisconsin. Jerold Elsen is licensed to practice in Wisconsin (license number 5072-146) and his current practice location is
231 Walnut St, Spooner, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(712) 635-9791.
NPI number for Jerold Elsen is 1972969723 and his current mailing address is 921 Scribner St, Spooner, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1972969723.
Healthcare Provider's Profile
| Full Name | Jerold Elsen |
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| Gender | Male |
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| Speciality | Massage Therapist |
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| Location | 231 Walnut St, Spooner, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1972969723
- Provider Enumeration Date: 01/10/2016
- Last Update Date: 01/10/2016
Medical Identifiers
Medical identifiers for Jerold Elsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972969723 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | 5072-146 (Wisconsin) | 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. Jerold Elsen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jerold Elsen,
921 Scribner St,
Spooner, WI 54801-1196
Ph: () - | Jerold Elsen,
231 Walnut St,
Spooner, WI 54801-1322
Ph: (712) 635-9791 |
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