| Jessica S Shin, MD | |
|
4440 S. Washington St., Grand Forks, ND 58201-7245 | |
| (701) 732-7700 | |
| Not Available |
| Full Name | Jessica S Shin |
|---|---|
| Gender | Female |
| Speciality | Orthopaedic Surgery |
| Location | 4440 S. Washington St., Grand Forks, North Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578820775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 036147473 (Illinois) | Primary |
| 207X00000X | Orthopaedic Surgery | 10248520-1205 (Utah) | Secondary |
| Entity Name | University Of Utah Adult Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica S Shin, MD 2401 Demers Ave, Grand Forks, ND 58201 Ph: (701) 780-6468 | Jessica S Shin, MD 4440 S. Washington St., Grand Forks, ND 58201-7245 Ph: (701) 732-7700 |
Robert A Johnson, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1000 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-6000 | |
David M Rathbone, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1000 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-6000 | |
Dr. Darin Tracy Leetun, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3035 Demers Ave, Grand Forks, ND 58201 Phone: 701-746-7521 | |
Michelle Leslie Smith, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4440 S. Washington St, Grand Forks, ND 58201 Phone: 701-780-5000 | |
Dr. Hans Fjeld Joseph, D.O Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4440 S Washington St, Grand Forks, ND 58201 Phone: 701-732-7700 Fax: 701-780-6088 | |
Robert H Clayburgh, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 3035 Demers Ave, Grand Forks, ND 58201 Phone: 701-746-7521 Fax: 701-795-2553 |