Mrs Jenna Etzold, LP - Medicare Psychologist in Bismarck, ND

Mrs Jenna Etzold, LP is a medicare enrolled "Psychologist" provider in Bismarck, North Dakota. She graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice St Alexius Medical Center and her current practice location is 900 E Broadway Ave, Bismarck, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 530-7300.

Mrs Jenna Etzold is licensed to practice in North Dakota (license number 577) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1538707898.

Contact Information

Mrs Jenna Etzold, LP
900 E Broadway Ave,
Bismarck, ND 58501-4520
(701) 530-7300
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMrs Jenna Etzold
GenderFemale
SpecialityClinical Psychologist
Experience6 Years
Location900 E Broadway Ave, Bismarck, North Dakota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Jenna Etzold graduated from medical school in 2018
  NPI Data:
  • NPI Number: 1538707898
  • Provider Enumeration Date: 12/18/2019
  • Last Update Date: 12/18/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 4183050040
  • Enrollment ID: I20200212002455

Medical Identifiers

Medical identifiers for Mrs Jenna Etzold such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538707898NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist (* (Not Available))Secondary
103T00000XPsychologist 577 (North Dakota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Chi St Alexius HealthBismarck, NDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Alexius Medical Center8426960865220

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Jenna Etzold allows following entities to bill medicare on her behalf.
Entity NameSt Alexius Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205868429
PECOS PAC ID: 8426960865
Enrollment ID: O20031104000146

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. Mrs Jenna Etzold is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Jenna Etzold, LP
Po Box 5510,
Bismarck, ND 58506-5510

Ph: (701) 870-2038
Mrs Jenna Etzold, LP
900 E Broadway Ave,
Bismarck, ND 58501-4520

Ph: (701) 530-7300

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.