Jacquelyn Lee Kerkow-dohmen, LICSW in Shakopee, MN - Medicare Clinical Social Worker Provider

Jacquelyn Lee Kerkow-dohmen, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Shakopee, Minnesota. She graduated from medical school in 2016 and has 10 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Northstar Regional and her current practice location is 500 Marschall Rd Ste 100, Shakopee, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 448-6557.

Jacquelyn Lee Kerkow-dohmen is licensed to practice in Minnesota (license number 22546) 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 1174186738.

Contact Information

	Jacquelyn Lee Kerkow-dohmen, LICSW
	500 Marschall Rd Ste 100, Shakopee, MN 55379-2689
	(952) 448-6557
	(952) 448-6047

Map and Direction

Healthcare Provider's Profile

Full Name	Jacquelyn Lee Kerkow-dohmen
Gender	Female
Speciality	Clinical Social Worker
Experience	10 Years
Location	500 Marschall Rd Ste 100, Shakopee, 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:

Jacquelyn Lee Kerkow-dohmen graduated from medical school in 2016

NPI Data:

NPI Number: 1174186738
Provider Enumeration Date: 04/19/2019
Last Update Date: 05/15/2024

Medicare PECOS Information:

PECOS PAC ID: 9830425354
Enrollment ID: I20190722002209

Medical Identifiers

Medical identifiers for Jacquelyn Lee Kerkow-dohmen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174186738	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	22546 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northstar Regional	8921346669	8

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. Jacquelyn Lee Kerkow-dohmen allows following entities to bill medicare on her behalf.

Entity Name	Northstar Regional
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659764587 PECOS PAC ID: 8921346669 Enrollment ID: O20190228000530

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. Jacquelyn Lee Kerkow-dohmen 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
Jacquelyn Lee Kerkow-dohmen, LICSW 500 Marschall Rd Ste 300, Shakopee, MN 55379-2690 Ph: (952) 856-3932	Jacquelyn Lee Kerkow-dohmen, LICSW 500 Marschall Rd Ste 100, Shakopee, MN 55379-2689 Ph: (952) 448-6557

Reviews and Comments

Social Worker in Shakopee, MN

Katelyn Rose Weckwerth, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 200 4th Ave W Ste 300, Shakopee, MN 55379 Phone: 952-496-8698
Halimo Hassan Warsame, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 805 Roundhouse St, Shakopee, MN 55379 Phone: 507-995-1421
Jessica Mountain, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1555 Lusitano St, Shakopee, MN 55379 Phone: 612-629-7109
Sarah Underdahl, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 4th Ave W Ste 300, Shakopee, MN 55379 Phone: 952-496-8457 Fax: 952-496-8355
Ms. Kim Harmon, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 4th Ave W, Government Center Rm 300, Shakopee, MN 55379 Phone: 952-496-8155 Fax: 952-496-8355
Batsheva Halpert, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 301 Fuller St S, Shakopee, MN 55379 Phone: 651-242-4856 Fax: 952-818-3702

Jacquelyn Lee Kerkow-dohmen, LICSW - Medicare Clinical Social Worker in Shakopee, MN