Jennifer Fetsch, in Grand Forks, ND - Medicare Social Worker Provider

Jennifer Fetsch, is a medicare enrolled "Social Worker - Clinical" provider in Grand Forks, North Dakota. Her current practice location is 1726 S Washington St Ste 33a, Grand Forks, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 746-4584.

Jennifer Fetsch is licensed to practice in North Dakota (license number 4437) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1134579139.

Contact Information

	Jennifer Fetsch,
	1726 S Washington St Ste 33a, Grand Forks, ND 58201-6395
	(701) 746-4584
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jennifer Fetsch
Gender	Female
Speciality	Social Worker - Clinical
Location	1726 S Washington St Ste 33a, Grand Forks, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134579139
Provider Enumeration Date: 06/21/2016
Last Update Date: 10/16/2023

Medicare PECOS Information:

PECOS PAC ID: 0244665644
Enrollment ID: I20200130001698

Medical Identifiers

Medical identifiers for Jennifer Fetsch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134579139	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	21660 (Minnesota)	Secondary
1041C0700X	Social Worker - Clinical	4437 (North Dakota)	Primary

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. Jennifer Fetsch allows following entities to bill medicare on her behalf.

Entity Name	Peterson Medical Clinics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699295774 PECOS PAC ID: 9335412220 Enrollment ID: O20170828003640

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. Jennifer Fetsch 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
Jennifer Fetsch, 1726 S Washington St Ste 33a, Grand Forks, ND 58201-6395 Ph: (701) 746-4584	Jennifer Fetsch, 1726 S Washington St Ste 33a, Grand Forks, ND 58201-6395 Ph: (701) 746-4584

Reviews and Comments

Social Worker in Grand Forks, ND

Kayla J. Norton, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 151 S 4th St Ste 401, Grand Forks, ND 58201 Phone: 701-795-3000 Fax: 701-795-3050
Lacy Suby, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2300 Library Cir, Grand Forks, ND 58201 Phone: 701-757-0477 Fax: 701-772-1763
Mrs. Diane Kay Baumbach, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2755 10th Ave N, Grand Forks, ND 58203 Phone: 701-738-0888 Fax: 701-757-1431
Mr. Jeff Williams, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3535 S 31st St Ste 201, Grand Forks, ND 58201 Phone: 701-780-6821 Fax: 701-780-1973
Ms. Rachel A Ambers, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 151 S 4th St, Suite 401, Grand Forks, ND 58201 Phone: 701-795-3000 Fax: 701-795-3050
Katherine Michelle Francis, MSW LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3535 S 31st St Ste 201, Grand Forks, ND 58201 Phone: 701-780-6821 Fax: 701-780-1973
Jessica Hermanson, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1407 24th Ave S Ste 530, Grand Forks, ND 58201 Phone: 701-738-0888 Fax: 701-738-0889

Jennifer Fetsch, - Medicare Clinical Social Worker in Grand Forks, ND