Jennifer Fetsch, - Medicare Clinical Social Worker in Grand Forks, ND

Jennifer Fetsch, is a medicare enrolled "Social Worker - Clinical" provider in Grand Forks, North Dakota. Her current practice location is 1726 S Washington St Ste 33a, Grand Forks, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 746-4584.

Jennifer Fetsch is licensed to practice in North Dakota (license number 4437) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1134579139.

Contact Information

Jennifer Fetsch,
1726 S Washington St Ste 33a,
Grand Forks, ND 58201-6395
(701) 746-4584
Not Available



Healthcare Provider's Profile

Full NameJennifer Fetsch
GenderFemale
SpecialitySocial Worker - Clinical
Location1726 S Washington St Ste 33a, Grand Forks, North Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134579139
  • Provider Enumeration Date: 06/21/2016
  • Last Update Date: 10/16/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0244665644
  • Enrollment ID: I20200130001698

Medical Identifiers

Medical identifiers for Jennifer Fetsch such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134579139NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 21660 (Minnesota)Secondary
1041C0700XSocial Worker - Clinical 4437 (North Dakota)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jennifer Fetsch allows following entities to bill medicare on her behalf.
Entity NamePeterson Medical Clinics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699295774
PECOS PAC ID: 9335412220
Enrollment ID: O20170828003640

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› Verified 5 days ago

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Fetsch is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jennifer Fetsch,
1726 S Washington St Ste 33a,
Grand Forks, ND 58201-6395

Ph: (701) 746-4584
Jennifer Fetsch,
1726 S Washington St Ste 33a,
Grand Forks, ND 58201-6395

Ph: (701) 746-4584

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Social Worker in Grand Forks, ND

Kayla J. Norton, L.C.S.W.
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 151 S 4th St Ste 401, Grand Forks, ND 58201
Phone: 701-795-3000    Fax: 701-795-3050
Lacy Suby, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 2300 Library Cir, Grand Forks, ND 58201
Phone: 701-757-0477    Fax: 701-772-1763
Mrs. Diane Kay Baumbach, LICSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 2755 10th Ave N, Grand Forks, ND 58203
Phone: 701-738-0888    Fax: 701-757-1431
Mr. Jeff Williams, LICSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 3535 S 31st St Ste 201, Grand Forks, ND 58201
Phone: 701-780-6821    Fax: 701-780-1973
Ms. Rachel A Ambers, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 151 S 4th St, Suite 401, Grand Forks, ND 58201
Phone: 701-795-3000    Fax: 701-795-3050
Katherine Michelle Francis, MSW LICSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 3535 S 31st St Ste 201, Grand Forks, ND 58201
Phone: 701-780-6821    Fax: 701-780-1973
Jessica Hermanson, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1407 24th Ave S Ste 530, Grand Forks, ND 58201
Phone: 701-738-0888    Fax: 701-738-0889

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