| Dr Kimberly Jacks, AUD | |
|
5565 Blaine Ave Ste 225, Inver Grove Heights, MN 55076-1239 | |
| (404) 297-4230 | |
| Not Available |
| Full Name | Dr Kimberly Jacks |
|---|---|
| Gender | Female |
| Speciality | Audiologist |
| Location | 5565 Blaine Ave Ste 225, Inver Grove Heights, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689195422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | AUD004099 (Georgia) | Secondary |
| 231H00000X | Audiologist | 10161 (Minnesota) | Primary |
| Provider Name | Park Nicollet Clinic |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
| Provider Name | Andros Ent & Sleep Center Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1578807491 PECOS PAC ID: 0244478188 Enrollment ID: O20130604000638 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kimberly Jacks, AUD Northside Hospital Managed Care Department, 1000 Johnson Ferry Rd Ne, Atlatna, GA 30342-3034 Ph: (404) 851-8097 | Dr Kimberly Jacks, AUD 5565 Blaine Ave Ste 225, Inver Grove Heights, MN 55076-1239 Ph: (404) 297-4230 |
Alexandra Elena Edwards, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 5565 Blaine Ave, Suite 225 And Suite 275, Inver Grove Heights, MN 55076 Phone: 651-888-7801 Fax: 651-888-7801 | |
Dr. Kylie Sandor, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 5565 Blaine Ave, Inver Grove Heights, MN 55076 Phone: 651-888-7800 Fax: 651-888-7801 | |
Mrs. Kelly Ann Schneider, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 5565 Blaine Ave E, #225, Inver Grove Heights, MN 55076 Phone: 651-888-7800 | |
Mrs. Cindy Eileen Nilsen, M.S., CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 5565 Blaine Ave, Ste 225, Inver Grove Heights, MN 55076 Phone: 651-888-7800 Fax: 651-452-9282 | |
Madilyn Nicole Guith, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 5565 Blaine Ave Ste 225, Inver Grove Heights, MN 55076 Phone: 651-888-7800 | |
Dr. Kari Nicole Hancher, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 5655 Blaine Ave E, Inver Grove Heights, MN 55076 Phone: 518-887-8006 |