Kylie Hartigan Jacobsen, OD in Elk River, MN - Medicare Optometry Provider

Kylie Hartigan Jacobsen, OD is a medicare enrolled "Optometrist" provider in Elk River, Minnesota. She graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Elaine Happ Od Pa, Mlp Optometry and her current practice location is 19576 Holt St Nw, Elk River, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 241-2083.

Kylie Hartigan Jacobsen is licensed to practice in Minnesota (license number 3537) 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 1891206819.

Contact Information

	Kylie Hartigan Jacobsen, OD
	19576 Holt St Nw, Elk River, MN 55330-1287
	(763) 241-2083
	(763) 241-2083

Map and Direction

Healthcare Provider's Profile

Full Name	Kylie Hartigan Jacobsen
Gender	Female
Speciality	Optometry
Experience	7 Years
Location	19576 Holt St Nw, Elk River, 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:

Kylie Hartigan Jacobsen graduated from medical school in 2017

NPI Data:

NPI Number: 1891206819
Provider Enumeration Date: 10/17/2017
Last Update Date: 10/17/2017

Medicare PECOS Information:

PECOS PAC ID: 4789941147
Enrollment ID: I20171120003687

Medical Identifiers

Medical identifiers for Kylie Hartigan Jacobsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891206819	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	3537 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Elaine Happ Od Pa	3375580426	4
Mlp Optometry	3870820814	5

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. Kylie Hartigan Jacobsen allows following entities to bill medicare on her behalf.

Provider Name	Elaine Happ Od Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1033281597 PECOS PAC ID: 3375580426 Enrollment ID: O20050411001124

Provider Name	Minnesota Optical Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1831303437 PECOS PAC ID: 1557528841 Enrollment ID: O20120221000953

Provider Name	Mlp Optometry
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1801454608 PECOS PAC ID: 3870820814 Enrollment ID: O20190813003175

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. Kylie Hartigan Jacobsen 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
Kylie Hartigan Jacobsen, OD 19576 Holt St Nw, Elk River, MN 55330-1287 Ph: (763) 241-2083	Kylie Hartigan Jacobsen, OD 19576 Holt St Nw, Elk River, MN 55330-1287 Ph: (763) 241-2083

Reviews and Comments

Optometrist in Elk River, MN

Elk River Eye Clinic, P.a. Optometrist Medicare: Medicare Enrolled Practice Location: 19022 Freeport Ave Nw, Suite H, Elk River, MN 55330 Phone: 763-441-1055 Fax: 763-441-7024
Dr. Elizabeth May Mosley, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 19576 Holt St Nw, Elk River, MN 55330 Phone: 763-241-2083 Fax: 763-241-3801
Dr. Michelle Ryba, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 19576 Holt St Nw, Elk River, MN 55330 Phone: 763-241-2083
David M Sawyer, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 510 Freeport Ave Nw, Suite C, Elk River, MN 55330 Phone: 763-441-3431 Fax: 763-441-4512
Dr. Gary Mark Hoffard, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 19022 Freeport Ave Nw, Suite H, Elk River, MN 55330 Phone: 763-441-1055 Fax: 763-441-7024
Dr. Erika Christine Januschka, OD Optometrist Medicare: Medicare Enrolled Practice Location: 19112 Freeport St Nw, Elk River, MN 55330 Phone: 763-241-2083
Edina Eye Physicians And Surgeons Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 290 Main St Nw, Elk River, MN 55330 Phone: 763-241-5878 Fax: 763-241-5877

Kylie Hartigan Jacobsen, OD - Medicare Optometrist in Elk River, MN