Christina Marie Kelly-jackels, MSW, LICSW in Eden Prairie, MN - Medicare Clinical Social Worker Provider

Christina Marie Kelly-jackels, MSW, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Eden Prairie, Minnesota. She graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Park Nicollet Clinic and her current practice location is 8455 Flying Cloud Dr, Eden Prairie, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 993-7400.

Christina Marie Kelly-jackels is licensed to practice in Minnesota (license number 18535) 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 1598096885.

Contact Information

	Christina Marie Kelly-jackels, MSW, LICSW
	8455 Flying Cloud Dr, Eden Prairie, MN 55344-3974
	(952) 993-7400
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Christina Marie Kelly-jackels
Gender	Female
Speciality	Clinical Social Worker
Experience	17 Years
Location	8455 Flying Cloud Dr, Eden Prairie, 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:

Christina Marie Kelly-jackels graduated from medical school in 2007

NPI Data:

NPI Number: 1598096885
Provider Enumeration Date: 01/26/2010
Last Update Date: 05/03/2019

Medicare PECOS Information:

PECOS PAC ID: 6507998408
Enrollment ID: I20100712000638

Medical Identifiers

Medical identifiers for Christina Marie Kelly-jackels such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598096885	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	18535 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Park Nicollet Clinic	7911819438	1529

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. Christina Marie Kelly-jackels allows following entities to bill medicare on her behalf.

Entity Name	Park Nicollet Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046

Entity Name	Behavioral Healthcare Providers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912066218 PECOS PAC ID: 8426374232 Enrollment ID: O20150312002305

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. Christina Marie Kelly-jackels 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
Christina Marie Kelly-jackels, MSW, LICSW 8455 Flying Cloud Dr, Eden Prairie, MN 55344-3974 Ph: (952) 993-7400	Christina Marie Kelly-jackels, MSW, LICSW 8455 Flying Cloud Dr, Eden Prairie, MN 55344-3974 Ph: (952) 993-7400

Reviews and Comments

Social Worker in Eden Prairie, MN

Susan Kay Cromwell, MSW LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 9531 W 78th St Ste 145, Eden Prairie, MN 55344 Phone: 651-268-0751 Fax: 952-943-9750
Safiya Ali Sheikh-mohamed, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7550 Market Place Dr Ste 3, Eden Prairie, MN 55344 Phone: 651-299-0044
Reashondra Walker, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7700 Equitable Dr, Eden Prairie, MN 55344 Phone: 932-395-6959
Susan M Saunders, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 8455 Flying Cloud Dr, Park Nicollet Clinic - Prairie Center Ste 200, Eden Prairie, MN 55344 Phone: 952-993-7400 Fax: 952-993-7430
Mr. Joshua Tucker, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11010 Prairie Lakes Dr Ste 350, Eden Prairie, MN 55344 Phone: 952-746-2522
Lily M Pieper, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6458 City West Pkwy, Eden Prairie, MN 55344 Phone: 952-767-5900
Emily Maria Valentine, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11010 Prairie Lakes Dr Ste 350, Eden Prairie, MN 55344 Phone: 763-200-6434

Christina Marie Kelly-jackels, MSW, LICSW - Medicare Clinical Social Worker in Eden Prairie, MN