| James W Jessen, MD | |
|
1805 Hennepin Ave N, Glencoe, MN 55336-1416 | |
| (320) 864-3121 | |
| Not Available |
| Full Name | James W Jessen |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1805 Hennepin Ave N, Glencoe, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083692008 | NPI | - | NPPES |
| 115267 | Other | MN | UCARE |
| 2178707 | Other | MN | AMERICAS PPO |
| 933772500 | Medicaid | MN | |
| NA2951011066 | Other | MN | PREFFERED ONE |
| P0010642 | Other | RR MEDICARE | |
| 41084933956001C037 | Other | CHAMPUS | |
| 0114591 | Other | MN | MEDICA |
| 41375JE | Other | MN | BCBS |
| HP21619 | Other | MN | HEALTH PARTNERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 27606 (Minnesota) | Primary |
| Entity Name | Glencoe Regional Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508885633 PECOS PAC ID: 1759292980 Enrollment ID: O20031119000252 |
| Entity Name | River's Edge Hospital & Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407849367 PECOS PAC ID: 7214849397 Enrollment ID: O20031120000094 |
| Mailing Address | Practice Location Address |
|---|---|
| James W Jessen, MD 1805 Hennepin Ave N, Glencoe, MN 55336-1416 Ph: (320) 864-3121 | James W Jessen, MD 1805 Hennepin Ave N, Glencoe, MN 55336-1416 Ph: (320) 864-3121 |
Timothy F Lane, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1805 Hennepin Ave N, Glencoe, MN 55336 Phone: 320-864-3121 | |
Michael Patrick Mccarthy, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1805 Hennepin Ave N, Glencoe, MN 55336 Phone: 320-864-3121 Fax: 320-864-7887 | |
Laura Jean Olson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1805 Hennepin Ave North, Glencoe Regional Health Services, Glencoe, MN 55336 Phone: 320-864-3121 Fax: 320-864-7887 | |
Kristine Leonard Knudten, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1805 Hennepin Ave North, Glencoe, MN 55336 Phone: 320-864-3121 Fax: 320-864-7887 | |
Douglas Lee Wagoner, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1805 Hennepin Ave N, Glencoe Regional Health Services, Glencoe, MN 55336 Phone: 320-864-3121 Fax: 320-864-7887 | |
Bryan Tutt Petersen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1805 Hennepin Ave N, Glencoe Regional Health Services, Glencoe, MN 55336 Phone: 320-864-3121 Fax: 320-864-7887 |