| Jessica A Wentzell, OD | |
|
101 Willmar Ave Sw, Affiliated Community Medical Centers, Willmar, MN 56201 | |
| (320) 231-5000 | |
| (320) 231-5067 |
| Full Name | Jessica A Wentzell |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 22 Years |
| Location | 101 Willmar Ave Sw, Willmar, Minnesota |
| 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 |
|---|---|---|---|
| 1447280847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2958 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Centracare Clinic Southwest Llc | 8426457946 | 153 |
| Provider Name | Centracare Clinic Southwest Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1174106264 PECOS PAC ID: 8426457946 Enrollment ID: O20210602002802 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica A Wentzell, OD 101 Willmar Ave Sw, Willmar, MN 56201 Ph: (320) 231-5000 | Jessica A Wentzell, OD 101 Willmar Ave Sw, Affiliated Community Medical Centers, Willmar, MN 56201 Ph: (320) 231-5000 |
Dr. Whitney Stock, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1801 19th Ave Sw, Willmar, MN 56201 Phone: 320-235-2020 | |
Thomas J Lenz, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1801 19th Ave Sw, Willmar, MN 56201 Phone: 320-235-2020 Fax: 320-214-5761 | |
Dr. Michael L Novak, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1801 19th Ave Sw, Willmar, MN 56201 Phone: 320-235-2020 Fax: 320-214-5761 | |
Dr. Thomas C Mueller, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 101 Willmar Ave Sw, Willmar, MN 56201 Phone: 320-231-5000 Fax: 320-231-5067 | |
Shoptikal Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2404 1st St S, Willmar, MN 56201 Phone: 320-235-5853 | |
Shane Jahraus, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1801 19th Ave Sw, Willmar, MN 56201 Phone: 320-235-2020 | |
Dr. Jennifer Lynn Fairbanks, O.D Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1801 19th Ave Sw, Willmar, MN 56201 Phone: 320-235-2020 |