Mrs Kristen Elaine Jeans, ATC, LMT is a
Specialist/technologist - Athletic Trainer based in Wentzville, Missouri. Mrs Kristen Elaine Jeans is licensed to practice in Missouri (license number 2004030353) and her current practice location is
2520 Hopewell Rd, Wentzville, Missouri. She can be reached at her office (for appointments etc.) via phone at
(636) 346-2104.
NPI number for Mrs Kristen Elaine Jeans is 1083940696 and her current mailing address is 2520 Hopewell Rd, Wentzville, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083940696.
Healthcare Provider's Profile
Full Name | Mrs Kristen Elaine Jeans |
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Gender | Female |
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Speciality | Specialist/technologist - Athletic Trainer |
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Location | 2520 Hopewell Rd, Wentzville, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1083940696
- Provider Enumeration Date: 11/02/2009
- Last Update Date: 06/06/2019
Medical Identifiers
Medical identifiers for Mrs Kristen Elaine Jeans such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083940696 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 2007035482 (Missouri) | Secondary |
2255A2300X | Specialist/technologist - Athletic Trainer | 2004030353 (Missouri) | 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. Mrs Kristen Elaine Jeans 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 |
Mrs Kristen Elaine Jeans, ATC, LMT 2520 Hopewell Rd, Wentzville, MO 63385-5911 Ph: (636) 346-2104 | Mrs Kristen Elaine Jeans, ATC, LMT 2520 Hopewell Rd, Wentzville, MO 63385-5911 Ph: (636) 346-2104 |
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