| Petra Thysell, MSW | |
|
900 N Orange St Ste 202, Missoula, MT 59802-2951 | |
| (406) 327-3362 | |
| (406) 327-3349 |
| Full Name | Petra Thysell |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 6 Years |
| Location | 900 N Orange St Ste 202, Missoula, Montana |
| 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 |
|---|---|---|---|
| 1508329574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | BBH-LCSW-LIC-64695 (Montana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Services Mt | 6608786306 | 293 |
| Entity Name | Providence Health & Services Mt |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144319138 PECOS PAC ID: 6608786306 Enrollment ID: O20031229000787 |
| Mailing Address | Practice Location Address |
|---|---|
| Petra Thysell, MSW Po Box 31001-4110, Pasadena, CA 91110-4110 Ph: (406) 327-3362 | Petra Thysell, MSW 900 N Orange St Ste 202, Missoula, MT 59802-2951 Ph: (406) 327-3362 |
Jennifer Walrod, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 111 Hillcrest Loop, Missoula, MT 59803 Phone: 406-529-7776 Fax: 866-776-9460 | |
Jocelyn Nelson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 520 S 3rd St W, Missoula, MT 59801 Phone: 406-240-3732 | |
Jennifer Nichole Tuttle, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 155 N California St Apt 407, Missoula, MT 59801 Phone: 919-395-2269 | |
Mckenna Leigh Fromm, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3885 W Broadway St, Missoula, MT 59808 Phone: 406-465-8725 | |
Mark Christopher Wayne, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 401 Railroad St W, Missoula, MT 59802 Phone: 406-830-5584 | |
Ms. Kaitlyn Nina Bosshardt, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 401 Railroad St W, Missoula, MT 59802 Phone: 406-258-4789 Fax: 406-258-4732 | |
Calia Ivy, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2112 Dixon Ave, Missoula, MT 59801 Phone: 928-637-8354 |