| Jerrica Maxson, AUD | |
|
2305 37th Ave Sw, Minot, ND 58701-7669 | |
| (701) 857-5000 | |
| Not Available |
| Full Name | Jerrica Maxson |
|---|---|
| Gender | Female |
| Speciality | Qualified Audiologist |
| Experience | 18 Years |
| Location | 2305 37th Ave Sw, Minot, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366699779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 2008011536 (Missouri) | Secondary |
| 231H00000X | Audiologist | H-0366 (North Dakota) | Secondary |
| 231H00000X | Audiologist | 1137 (North Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Trinity Hospitals | Minot, ND | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Trinity Health | 7911816020 | 283 |
| Provider Name | Trinity Health |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1083653752 PECOS PAC ID: 7911816020 Enrollment ID: O20031106000316 |
| Mailing Address | Practice Location Address |
|---|---|
| Jerrica Maxson, AUD Po Box 5010, Minot, ND 58702-5010 Ph: (701) 418-8000 | Jerrica Maxson, AUD 2305 37th Ave Sw, Minot, ND 58701-7669 Ph: (701) 857-5000 |
Dr. Thomas Martin Froelich, MS Audiologist Medicare: Not Enrolled in Medicare Practice Location: 500 University Avenue West, Minot, ND 58704 Phone: 701-858-3030 Fax: 701-858-3032 | |
Sheila G Klein, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 101 3rd Ave Sw, Minot, ND 58701 Phone: 701-857-5986 Fax: 701-857-5029 | |
Dr. Kelci Lee Jackson, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1400 37th Ave Sw, Minot, ND 58701 Phone: 701-852-6565 | |
Minot State University Audiologist Medicare: Not Enrolled in Medicare Practice Location: 500 University Ave W, Minot, ND 58707 Phone: 701-858-3030 Fax: 701-858-3032 | |
Tricia M Nechodom, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 2305 37th Ave Sw, Minot, ND 58701 Phone: 701-857-5000 | |
Kelsey Artz, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2305 37th Ave Sw, Minot, ND 58701 Phone: 701-857-5118 |