Jesse Fenstermacher, OD | |
922 Us 10 E, Staples, MN 56479-2371 | |
(218) 894-1331 | |
Not Available |
Full Name | Jesse Fenstermacher |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 4 Years |
Location | 922 Us 10 E, Staples, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194339481 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 3701 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Staples Eye Clinic Psc | 1759540222 | 2 |
Provider Name | Staples Eye Clinic Psc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1821366683 PECOS PAC ID: 1759540222 Enrollment ID: O20120308000360 |
Mailing Address | Practice Location Address |
---|---|
Jesse Fenstermacher, OD 922 Us 10 E, Staples, MN 56479-2371 Ph: (218) 894-1331 | Jesse Fenstermacher, OD 922 Us 10 E, Staples, MN 56479-2371 Ph: (218) 894-1331 |
Miss Danise Joann Miller, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 222 4th St Ne, Staples, MN 56479 Phone: 218-894-1331 Fax: 218-894-1335 | |
Dr. Seth Alan Dokken, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 922 Us 10 E, Staples, MN 56479 Phone: 218-894-1331 Fax: 218-895-1332 | |
Staples Eye Clinic Psc Optometrist Medicare: Medicare Enrolled Practice Location: 922 Us 10 East, Staples, MN 56479 Phone: 218-894-1331 Fax: 218-895-1332 | |
Staples Eye Clinic Optometrist Medicare: Not Enrolled in Medicare Practice Location: 222 4th St Ne, Staples, MN 56479 Phone: 218-894-1331 Fax: 218-895-1332 |