| Jane Ostlie, MD | |
|
600 1st St Se, Mayville, ND 58257-1518 | |
| (701) 788-4500 | |
| (701) 788-4500 |
| Full Name | Jane Ostlie |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 18 Years |
| Location | 600 1st St Se, Mayville, 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 |
|---|---|---|---|
| 1063672749 | NPI | - | NPPES |
| 15151 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 11491 (North Dakota) | Primary |
| 207Q00000X | Family Medicine | TRL10930 (North Dakota) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sanford Home Care Fargo | Fargo, ND | Home health agency |
| Hospice Of Red River Valley | Fargo, ND | Hospice |
| Sanford Mayville | Mayville, ND | Hospital |
| Sanford Medical Center Fargo | Fargo, ND | Hospital |
| Altru Hospital | Grand forks, ND | Hospital |
| Sanford Hillsboro | Hillsboro, ND | Hospital |
| Northwood Deaconess Health Center | Northwood, ND | Hospital |
| Luther Memorial Home | Mayville, ND | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sanford Health Network North | 8022206663 | 115 |
| Entity Name | Sanford Medical Center Fargo |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495 |
| Entity Name | Sanford Health Network North |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366478760 PECOS PAC ID: 8022206663 Enrollment ID: O20171226001068 |
| Mailing Address | Practice Location Address |
|---|---|
| Jane Ostlie, MD 600 1st St Se, Mayville, ND 58257-1518 Ph: (701) 788-4500 | Jane Ostlie, MD 600 1st St Se, Mayville, ND 58257-1518 Ph: (701) 788-4500 |