Marisa Jean Jergenson, RN, BSN, CADC is a
Registered Nurse based in Fort Dodge, Iowa. Marisa Jean Jergenson is licensed to practice in Iowa (license number 131852) and her current practice location is
211 Avenue M W, Fort Dodge, Iowa. She can be reached at her office (for appointments etc.) via phone at
(515) 576-7261.
NPI number for Marisa Jean Jergenson is 1902482300 and her current mailing address is 211 Avenue M W, Fort Dodge, Iowa. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902482300.
Healthcare Provider's Profile
| Full Name | Marisa Jean Jergenson |
|---|
| Gender | Female |
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| Speciality | Registered Nurse |
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| Location | 211 Avenue M W, Fort Dodge, Iowa |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1902482300
- Provider Enumeration Date: 03/24/2021
- Last Update Date: 06/19/2023
Medical Identifiers
Medical identifiers for Marisa Jean Jergenson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1902482300 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 21037 (Iowa) | Secondary |
| 163W00000X | Registered Nurse | 131852 (Iowa) | Primary |
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. Marisa Jean Jergenson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Marisa Jean Jergenson, RN, BSN, CADC 211 Avenue M W, Fort Dodge, IA 50501-5789 Ph: (515) 576-7261 | Marisa Jean Jergenson, RN, BSN, CADC 211 Avenue M W, Fort Dodge, IA 50501-5789 Ph: (515) 576-7261 |
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