| Marissa Marie Leese, AUD | |
|
2422 20th St Sw, Jamestown, ND 58401-6201 | |
| (701) 952-4800 | |
| Not Available |
| Full Name | Marissa Marie Leese |
|---|---|
| Gender | Female |
| Speciality | Qualified Audiologist |
| Experience | 9 Years |
| Location | 2422 20th St Sw, Jamestown, 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 |
|---|---|---|---|
| 1285184879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 1625 (North Dakota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sanford Medical Center Fargo | 8426967803 | 1125 |
| Provider Name | Lutheran Charity Association |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1821044652 PECOS PAC ID: 2264341031 Enrollment ID: O20040128000565 |
| Provider Name | Sanford Medical Center Fargo |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495 |
| Mailing Address | Practice Location Address |
|---|---|
| Marissa Marie Leese, AUD Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () - | Marissa Marie Leese, AUD 2422 20th St Sw, Jamestown, ND 58401-6201 Ph: (701) 952-4800 |
Melissa M Ollie, Audiologist Medicare: Not Enrolled in Medicare Practice Location: 701 3rd St Nw, Jamestown, ND 58401 Phone: 701-252-3850 Fax: 701-952-5154 | |
Susan Matthiesen, Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2422 20th St Sw, Jamestown, ND 58401 Phone: 701-252-1050 Fax: 701-952-3265 | |
Douglas D Schauer, MS Audiologist Medicare: Accepting Medicare Assignments Practice Location: 300 2nd Ave Ne, Jamestown, ND 58401 Phone: 701-251-6000 Fax: 701-323-5709 |