Tara Jeanine Roaldson, | |
701 3rd St Nw, Jamestown, ND 58401-2963 | |
(701) 252-3850 | |
(701) 952-5154 |
Full Name | Tara Jeanine Roaldson |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 701 3rd St Nw, Jamestown, 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 |
---|---|---|---|
1306970926 | NPI | - | NPPES |
23194 | Other | ND | BCBS OF NORTH DAKOTA |
52502 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1222 (North Dakota) | Primary |
Provider Name | Anne Carlsen Center |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1598930109 PECOS PAC ID: 1557687274 Enrollment ID: O20150224000181 |
Mailing Address | Practice Location Address |
---|---|
Tara Jeanine Roaldson, 701 3rd St Nw, Jamestown, ND 58401-2963 Ph: (701) 252-3850 | Tara Jeanine Roaldson, 701 3rd St Nw, Jamestown, ND 58401-2963 Ph: (701) 252-3850 |
Tracy Anderson, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2422 20th St Sw, Jamestown, ND 58401 Phone: 701-952-4864 Fax: 701-952-3251 | |
Jadee Lange, Physical Therapist Medicare: Medicare Enrolled Practice Location: 904 5th Ave Ne, Jamestown, ND 58401 Phone: 701-253-4000 | |
Tammy Virginia Reis, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 701 3rd St Nw, Jamestown, ND 58401 Phone: 701-252-3850 Fax: 701-952-5154 | |
Paula M Marker, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 2nd Ave Ne, Jamestown, ND 58401 Phone: 701-251-6000 Fax: 701-323-5709 | |
Brittany Gannarelli, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 904 5th Ave Ne, Jamestown, ND 58401 Phone: 701-253-4093 Fax: 701-253-4086 | |
Mackenze John Cimbura, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 904 5th Ave Ne, Jamestown, ND 58401 Phone: 701-253-4000 | |
Jason Anderson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 501 19th St Ne, Jamestown, ND 58401 Phone: 701-252-5660 |