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

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 Name	Mrs Jenna Etzold
Gender	Female
Speciality	Clinical Psychologist
Experience	6 Years
Location	900 E Broadway Ave, Bismarck, North Dakota
Accepts Medicare Assignments	Yes. 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.

Identifier	Type	State	Issuer
1538707898	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	(* (Not Available))	Secondary
103T00000X	Psychologist	577 (North Dakota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Chi St Alexius Health	Bismarck, ND	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Alexius Medical Center	8426960865	220

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 Name	St Alexius Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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 Address	Practice 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

Psychologist in Bismarck, ND

Nicole L Cross-hillman, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1800 E Interstate Ave Ste B, Bismarck, ND 58503 Phone: 701-323-6543 Fax: 701-323-5492
Megan Sparrow, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 128 Soo Line Dr, Bismarck, ND 58501 Phone: 701-323-4000
Miss Megan Elliott, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 128 Soo Line Dr, Bismarck, ND 58501 Phone: 701-323-4028
Dr. Craig Degree, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 900 E Broadway Ave, Bismarck, ND 58501 Phone: 701-530-7300 Fax: 701-530-7319
Christine Jean Kuchler, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1237 W Divide Ave, Ste 5, Bismarck, ND 58501 Phone: 701-328-8877 Fax: 701-328-8900
Delora A Kautzmann, PSY.S., NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3400 E Calgary Ave, Bismarck, ND 58503 Phone: 701-323-4850 Fax: 701-323-4855
Richard E Arndorfer, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1800 E Interstate Ave Ste B, Bismarck, ND 58503 Phone: 701-323-6543

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