Gracelynn K Fjelstad, is a
Specialist/technologist - Speech-language Assistant based in West Covina, California. Gracelynn K Fjelstad is licensed to practice in California (license number ) and her current practice location is
933 S Sunset Ave Ste 205, West Covina, California. She can be reached at her office (for appointments etc.) via phone at
(310) 553-2695.
NPI number for Gracelynn K Fjelstad is 1538915665 and her current mailing address is 2236 Kodiak Dr, North Mankato, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1538915665.
Healthcare Provider's Profile
Full Name | Gracelynn K Fjelstad |
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Gender | Female |
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Speciality | Specialist/technologist - Speech-language Assistant |
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Location | 933 S Sunset Ave Ste 205, West Covina, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1538915665
- Provider Enumeration Date: 04/29/2024
- Last Update Date: 04/29/2024
Medical Identifiers
Medical identifiers for Gracelynn K Fjelstad such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538915665 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225XP0200X | Occupational Therapist - Pediatrics | (California) | Secondary |
2355S0801X | Specialist/technologist - Speech-language Assistant | (California) | 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. Gracelynn K Fjelstad 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 |
Gracelynn K Fjelstad, 2236 Kodiak Dr, North Mankato, MN 56003-1562 Ph: () - | Gracelynn K Fjelstad, 933 S Sunset Ave Ste 205, West Covina, CA 91790-3410 Ph: (310) 553-2695 |
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