Mrs Tina Marie Jacobsen, MA, CCC-SLP | |
606 W Cedar St, Beresford, SD 57004-1125 | |
(605) 763-2048 | |
Not Available |
Full Name | Mrs Tina Marie Jacobsen |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 606 W Cedar St, Beresford, South Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821058231 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 01293 (Iowa) | Primary |
Provider Name | Avera Mckennan |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1003389206 PECOS PAC ID: 0345157103 Enrollment ID: O20031110000117 |
Mailing Address | Practice Location Address |
---|---|
Mrs Tina Marie Jacobsen, MA, CCC-SLP 3120 W Rose Crest Dr, Sioux Falls, SD 57108-1721 Ph: (605) 357-3661 | Mrs Tina Marie Jacobsen, MA, CCC-SLP 606 W Cedar St, Beresford, SD 57004-1125 Ph: (605) 763-2048 |
Bonnie Wylie, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1109 W Cedar St, Beresford, SD 57004 Phone: 605-763-5096 | |
Glenadene Aamot, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1109 W Cedar St, Beresford, SD 57004 Phone: 605-763-5096 Fax: 605-763-2206 | |
Sharon Petrik, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1109 W Cedar St, Beresford, SD 57004 Phone: 605-763-5096 | |
Sara Elizabeth Erickson, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: Southeast Area Cooperative, 1109 W Cedar St, Beresford, SD 57004 Phone: 605-763-5096 | |
Maureen Hedeen, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1109 W Cedar St, Beresford, SD 57004 Phone: 605-763-5096 | |
Debra Kay Duchscher, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1109 W Cedar St, Beresford, SD 57004 Phone: 605-763-5096 | |
Patricia West, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1109 W Cedar St, Beresford, SD 57004 Phone: 605-763-5096 |