Mrs Stacy Jill Jensen, OTR/L CHT | |
1300 S Columbia Rd, Grand Forks, ND 58201-4012 | |
(701) 780-2300 | |
(701) 780-2599 |
Full Name | Mrs Stacy Jill Jensen |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 1300 S Columbia Rd, Grand Forks, North Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225230220 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 283 (North Dakota) | Primary |
Provider Name | Altru Health System |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1043309552 PECOS PAC ID: 1355251604 Enrollment ID: O20031111000714 |
Mailing Address | Practice Location Address |
---|---|
Mrs Stacy Jill Jensen, OTR/L CHT 1200 S Columbia Rd, Grand Forks, ND 58201-4036 Ph: (701) 780-6000 | Mrs Stacy Jill Jensen, OTR/L CHT 1300 S Columbia Rd, Grand Forks, ND 58201-4012 Ph: (701) 780-2300 |
Mrs. Heather Ann Thibert, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1300 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-781-2300 Fax: 701-780-1942 | |
Alycia Ann Bosco, MOTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2951 S 34th St, Grand Forks, ND 58201 Phone: 701-772-3851 | |
Heather Ann Audet, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-5000 | |
Stephanie Anne Suedel, MOTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 3535 S 31st St Ste 105, Grand Forks, ND 58201 Phone: 701-317-2897 Fax: 701-213-4345 | |
Stacie Lee Voth, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 South Columbia Road, Grand Forks, ND 58206 Phone: 701-780-5000 | |
Mrs. Rhonda Mae Roed, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 South Columbia Road, Grand Forks, ND 58206 Phone: 701-780-5340 Fax: 701-780-1942 | |
Mrs. Alison Jeanne Cherney, MOTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1000 South Columbia Road, Grand Forks, ND 58206 Phone: 701-780-5000 |