| Jade Wiseth, | |
|
1811 S Washington St, Grand Forks, ND 58201-6337 | |
| (701) 757-3045 | |
| Not Available |
| Full Name | Jade Wiseth |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 1811 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 |
|---|---|---|---|
| 1699349084 | NPI | - | NPPES |
| 1945 | Other | ND | ST LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 1945 (North Dakota) | Primary |
| Provider Name | Pediatric Therapy Partners Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1457479958 PECOS PAC ID: 3072667203 Enrollment ID: O20090821000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Jade Wiseth, 1811 S Washington St, Grand Forks, ND 58201-6337 Ph: (701) 757-3045 | Jade Wiseth, 1811 S Washington St, Grand Forks, ND 58201-6337 Ph: (701) 757-3045 |
Andrea Fernandez Flores, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2600 Demers Ave Ste 101, Grand Forks, ND 58201 Phone: 701-741-8057 | |
Jessica Ann Sporbert, SPEECH PATHOLOGIST Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 2400 47th Ave S, Grand Forks, ND 58201 Phone: 701-746-2230 | |
Alyson Potts, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2400 47th Ave S, Grand Forks, ND 58201 Phone: 701-746-2200 | |
Meredith A. Christiansen, M.S., CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 2600 Demers Ave Ste 101, Grand Forks, ND 58201 Phone: 701-741-8057 | |
Amy Louise Pinkerton, SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 1375 S Columbia Rd - Altru Performance Center, Grand Forks, ND 58201 Phone: 701-780-5000 Fax: 701-780-2238 | |
Paola Alvarez, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2400 47th Ave S, Grand Forks, ND 58201 Phone: 701-746-2205 | |
Andrea Goertzen, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2400 47th Ave S, Grand Forks, ND 58201 Phone: 701-746-2230 |