| Jackie Lynn Bosshart, OTR/L | |
|
10230 Baltimore St Ne Ste 300, Blaine, MN 55449-4674 | |
| (651) 968-5201 | |
| (651) 968-5903 |
| Full Name | Jackie Lynn Bosshart |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 10230 Baltimore St Ne Ste 300, Blaine, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801041447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 103609 (Minnesota) | Primary |
| Provider Name | Summit Orthopedics Ltd |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1306899463 PECOS PAC ID: 8921900374 Enrollment ID: O20040126000035 |
| Provider Name | Fairview Express Care |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
| Provider Name | Healtheast Outpatient Services Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1225382526 PECOS PAC ID: 0941447304 Enrollment ID: O20130503000040 |
| Mailing Address | Practice Location Address |
|---|---|
| Jackie Lynn Bosshart, OTR/L 710 Commerce Dr Ste 200, Woodbury, MN 55125-4925 Ph: () - | Jackie Lynn Bosshart, OTR/L 10230 Baltimore St Ne Ste 300, Blaine, MN 55449-4674 Ph: (651) 968-5201 |
Jill Marie Akins, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 11855 Ulysses St Ne Ste 20, Blaine, MN 55434 Phone: 763-767-3140 | |
Emily M Betz, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 10611 Baltimore St Ne Ste 200, Blaine, MN 55449 Phone: 763-755-4275 Fax: 763-847-4814 | |
Chelsey Marie Joy Weintraub, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 12450 Cloud Dr Ne, Blaine, MN 55449 Phone: 763-777-7117 Fax: 651-401-0598 | |
Gregory Lee Rife, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 10230 Baltimore St Ne, Blaine, MN 55449 Phone: 651-968-5308 Fax: 651-730-3517 | |
Anna Caroline Morrison, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 11225 Ulysses St Ne, Blaine, MN 55434 Phone: 763-302-2600 Fax: 763-302-2601 | |
Marlee Olson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 11517 Polk St Ne, Blaine, MN 55434 Phone: 218-838-7856 | |
Miss Amanda L Tschida-schirmers, OTR/L, CHT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 11225 Ulysses St Ne, Blaine, MN 55434 Phone: 763-302-2600 Fax: 763-302-2601 |