Andrea Marie Jorgenson, CNP | |
3001 Sanford Pkwy, Thief River Falls, MN 56701-2700 | |
(218) 681-4747 | |
Not Available |
Full Name | Andrea Marie Jorgenson |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 3001 Sanford Pkwy, Thief River Falls, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1326810177 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363LF0000X | Nurse Practitioner - Family | 10917 (Minnesota) | Primary |
363L00000X | Nurse Practitioner | R47954 (North Dakota) | Secondary |
Entity Name | Legacy Medical Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619594637 PECOS PAC ID: 0648698290 Enrollment ID: O20200914001248 |
Entity Name | Legacy Primary Care Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265277115 PECOS PAC ID: 5799223491 Enrollment ID: O20240813001785 |
Mailing Address | Practice Location Address |
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Andrea Marie Jorgenson, CNP Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () - | Andrea Marie Jorgenson, CNP 3001 Sanford Pkwy, Thief River Falls, MN 56701-2700 Ph: (218) 681-4747 |
Mrs. Michelle Rae Neuschwander, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Labree Ave S, Thief River Falls, MN 56701 Phone: 218-683-4351 | |
Dr. Davis John Mills, DNP, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Labree Ave S, Thief River Falls, MN 56701 Phone: 218-683-4350 | |
Kyle Laurence Slaathaug, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3001 Sanford Pkwy, Thief River Falls, MN 56701 Phone: 218-681-4747 | |
Desiree M Bertilrud, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1720 Highway 59 S, Thief River Falls, MN 56701 Phone: 218-681-4747 Fax: 218-683-2595 | |
Mrs. Heather Lynn Waldal, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1720 Highway 59 S, Thief River Falls, MN 56701 Phone: 218-681-4747 | |
Mrs. Paula Lynn Pengilly, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17807 Us Hwy 59 Ne, Rose Medical Management, Thief River Falls, MN 56701 Phone: 361-413-5179 |