Jennifer Eileen Haggerty, MS, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Mendota Heights, Minnesota. Her current practice location is
1160 Centre Pointe Dr Ste 7, Mendota Heights, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(612) 430-6149.
Jennifer Eileen Haggerty is licensed to practice in Minnesota (license number 528404) 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 1912787359.
Healthcare Provider's Profile
| Full Name | Jennifer Eileen Haggerty |
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| Gender | Female |
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| Speciality | Speech-language Pathologist |
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| Location | 1160 Centre Pointe Dr Ste 7, Mendota Heights, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1912787359
- Provider Enumeration Date: 10/03/2023
- Last Update Date: 10/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 5991154072
- Enrollment ID: I20231214002237
Medical Identifiers
Medical identifiers for Jennifer Eileen Haggerty such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1912787359 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 235Z00000X | Speech-language Pathologist | 528404 (Minnesota) | 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 Eileen Haggerty allows following entities to bill medicare on her behalf.
| Provider Name | Holland Center |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1467641555
PECOS PAC ID: 1759507882
Enrollment ID: O20140728000366 |
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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 Eileen Haggerty 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 |
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Jennifer Eileen Haggerty, MS, CCC-SLP
47 Spruce Pl Unit 319,
Minneapolis, MN 55403-6108
Ph: (219) 707-1388 | Jennifer Eileen Haggerty, MS, CCC-SLP
1160 Centre Pointe Dr Ste 7,
Mendota Heights, MN 55120-1377
Ph: (612) 430-6149 |
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