Jacklyn Mae Ellickson, MD in Saint Paul, MN

Jacklyn Mae Ellickson, MD is a medicare enrolled "Internal Medicine - Endocrinology, Diabetes & Metabolism" physician in Saint Paul, Minnesota. She went to University Of Wisconsin School Of Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Endocrinology. She is a member of the group practice Healthpartners Medical Group and her current practice location is 401 Phalen Blvd, Saint Paul, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 254-7870.

Jacklyn Mae Ellickson is licensed to practice in Minnesota (license number 53921) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1538395496.

Contact Information

	Jacklyn Mae Ellickson, MD
	401 Phalen Blvd, Saint Paul, MN 55130-5302
	(651) 254-7870
	(651) 254-7876

Map and Direction

Physician's Profile

Full Name	Jacklyn Mae Ellickson
Gender	Female
Speciality	Endocrinology
Experience	16 Years
Location	401 Phalen Blvd, Saint Paul, 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.

Medical Education and Training:

Jacklyn Mae Ellickson attended and graduated from University Of Wisconsin School Of Medicine in 2008

NPI Data:

NPI Number: 1538395496
Provider Enumeration Date: 06/05/2009
Last Update Date: 03/17/2022

Medicare PECOS Information:

PECOS PAC ID: 5991976011
Enrollment ID: I20110922000086

Medical Identifiers

Medical identifiers for Jacklyn Mae Ellickson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538395496	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RE0101X	Internal Medicine - Endocrinology, Diabetes & Metabolism	62721-20 (Wisconsin)	Secondary
207RE0101X	Internal Medicine - Endocrinology, Diabetes & Metabolism	53921 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Regions Hospital	Saint paul, MN	Hospital
Park Nicollet Methodist Hospital	Saint louis park, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Healthpartners Medical Group	1759293954	1430

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. Jacklyn Mae Ellickson allows following entities to bill medicare on her behalf.

Entity Name	Group Health Plan Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417

Entity Name	Fairview Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461

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. Jacklyn Mae Ellickson 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 Address	Practice Location Address
Jacklyn Mae Ellickson, MD 8170 33rd Ave S, Ms 21110q, Bloomington, MN 55425-4516 Ph: () -	Jacklyn Mae Ellickson, MD 401 Phalen Blvd, Saint Paul, MN 55130-5302 Ph: (651) 254-7870

Reviews and Comments

Internal Medicine Doctors in Saint Paul, MN

Wojciech Kraszkiewicz, M.D. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-9673
Nicholas Charles Boysen, M.D. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-9673
Nathan M Frink, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 1690 University Ave W, Suite 570, Saint Paul, MN 55104 Phone: 651-232-4800 Fax: 651-232-4899
Dr. Andrew Caraganis, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 401 Phalen Blvd, Saint Paul, MN 55130 Phone: 651-254-7670 Fax: 651-254-7676
Dr. Patrick George Manning, M.D. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-4887 Fax: 651-254-1603
Anthony Williams, M.D. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-9673
Samantha May Scheid, Endocrinology, Diabetes & Metabolism Medicare: Medicare Enrolled Practice Location: 401 Phalen Blvd, Saint Paul, MN 55130 Phone: 651-254-7980

Jacklyn Mae Ellickson, MD - Medicare Endocrinology in Saint Paul, MN