Jackie Elvehjem, is a medicare enrolled "Counselor - Mental Health" provider in Saint Joseph, Minnesota. She graduated from healthcare school in 2007 and has 19 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Affinity Psychological Services Pc and her current practice location is
37 College Ave S, Saint Joseph, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(320) 363-3236.
Jackie Elvehjem is licensed to practice in Minnesota (license number CC03244) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1154019503.
Healthcare Provider's Profile
| Full Name | Jackie Elvehjem |
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| Gender | Female |
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| Speciality | Mental Health Counselor |
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| Experience | 19 Years |
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| Location | 37 College Ave S, Saint Joseph, Minnesota |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jackie Elvehjem graduated from medical school in 2007
NPI Data:
- NPI Number: 1154019503
- Provider Enumeration Date: 04/25/2023
- Last Update Date: 04/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 9537510425
- Enrollment ID: I20240104002208
Medical Identifiers
Medical identifiers for Jackie Elvehjem such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154019503 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | CC03244 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Affinity Psychological Services Pc | 0749528552 | 48 |
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. Jackie Elvehjem allows following entities to bill medicare on her behalf.
| Entity Name | St Cloud Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043269798
PECOS PAC ID: 4880594779
Enrollment ID: O20110221000134 |
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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. Jackie Elvehjem 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 |
|---|
Jackie Elvehjem,
1221 29th Ave N,
Saint Cloud, MN 56303-1645
Ph: (320) 424-3326 | Jackie Elvehjem,
37 College Ave S,
Saint Joseph, MN 56374-2099
Ph: (320) 363-3236 |
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