Jenni Hetletved, PA-C is a medicare enrolled "Physician Assistant" in Washburn, North Dakota. Her current practice location is
1177 Border Ln, Washburn, North Dakota. You can reach out to her office (for appointments etc.) via phone at
(701) 462-3396.
Jenni Hetletved is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1164207338.
Provider's Profile
Full Name | Jenni Hetletved |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 1177 Border Ln, Washburn, North Dakota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1164207338
- Provider Enumeration Date: 08/28/2023
- Last Update Date: 08/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 7911352026
- Enrollment ID: I20231010001851
Medical Identifiers
Medical identifiers for Jenni Hetletved such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164207338 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (* (Not Available)) | 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. Jenni Hetletved is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jenni Hetletved, PA-C 420 7th St, Washburn, ND 58577-4384 Ph: (701) 200-6551 | Jenni Hetletved, PA-C 1177 Border Ln, Washburn, ND 58577-4102 Ph: (701) 462-3396 |
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