| Jacob Mark Januszewski, PT | |
|
301 N Broadway, Pelican Rapids, MN 56572-4113 | |
| (218) 863-2000 | |
| Not Available |
| Full Name | Jacob Mark Januszewski |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 301 N Broadway, Pelican Rapids, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366728412 | NPI | - | NPPES |
| 1366728412 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1570 (North Dakota) | Secondary |
| 225100000X | Physical Therapist | 8522 (Minnesota) | Primary |
| Provider Name | St Marys Regional Health Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1679561088 PECOS PAC ID: 2062326820 Enrollment ID: O20031117000090 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Mark Januszewski, PT 301 N Broadway, Pelican Rapids, MN 56572-4113 Ph: (218) 863-2000 | Jacob Mark Januszewski, PT 301 N Broadway, Pelican Rapids, MN 56572-4113 Ph: (218) 863-2000 |
Peter Larson, Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 46 N Broadway, Pelican Rapids, MN 56572 Phone: 218-863-1981 Fax: 218-863-2211 |
Craig Haugrud, Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 46 N Broadway, Pelican Rapids, MN 56572 Phone: 218-863-1981 |
Ms. Marilyn Kay Welke, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 211 E. Mill St., Pelican Rapids, MN 56572 Phone: 218-863-1140 Fax: 218-863-2530 |