| Jaci Rae Hannasch, CNP | |
|
300 S Bruce St, Marshall, MN 56258-1934 | |
| (507) 532-9661 | |
| Not Available |
| Full Name | Jaci Rae Hannasch |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 300 S Bruce St, Marshall, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760140180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 8803 (Minnesota) | Primary |
| Entity Name | Avera Marshall |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568401016 PECOS PAC ID: 5799695227 Enrollment ID: O20031106000219 |
| Mailing Address | Practice Location Address |
|---|---|
| Jaci Rae Hannasch, CNP 507 Mercedes Dr, Marshall, MN 56258-5497 Ph: (605) 360-6046 | Jaci Rae Hannasch, CNP 300 S Bruce St, Marshall, MN 56258-1934 Ph: (507) 532-9661 |
Ablavi Saboutey, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1212 E College Dr, Marshall, MN 56258 Phone: 612-616-6227 | |
Michael John Goblish, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 S Bruce St, Marshall, MN 56258 Phone: 507-337-2923 | |
Sandra Kay Turbes, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 S Bruce St, Marshall, MN 56258 Phone: 507-532-9661 | |
Ms. Susan R Norgaard, RN CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1420 East College Drive, Affiliated Community Medical Centers, Marshall, MN 56258 Phone: 320-231-5000 Fax: 507-247-5184 | |
Courtney June Blomme, APRN, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 S Bruce St, Marshall, MN 56258 Phone: 507-537-9007 Fax: 507-537-2720 | |
Talicia Jarcho, RN, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1212 E College Dr, Marshall, MN 56258 Phone: 507-532-3236 | |
Patrick Masiasia Birisi, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1212 E College Dr, Marshall, MN 56258 Phone: 507-532-3607 |