Jimmy Quach, in Brooklyn Center, MN - Medicare Counselor Provider

Jimmy Quach, is a medicare enrolled "Counselor - Mental Health" provider in Brooklyn Center, Minnesota. His current practice location is 6040 Earle Brown Dr Ste 100, Brooklyn Center, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 313-8080.

Jimmy Quach is licensed to practice in Minnesota (license number 4027) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1760106637.

Contact Information

	Jimmy Quach,
	6040 Earle Brown Dr Ste 100, Brooklyn Center, MN 55430-2561
	(651) 313-8080
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jimmy Quach
Gender	Male
Speciality	Counselor - Mental Health
Location	6040 Earle Brown Dr Ste 100, Brooklyn Center, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760106637
Provider Enumeration Date: 10/03/2022
Last Update Date: 09/20/2023

Medicare PECOS Information:

PECOS PAC ID: 0345691739
Enrollment ID: I20240110002499

Medical Identifiers

Medical identifiers for Jimmy Quach such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760106637	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	4027 (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. Jimmy Quach allows following entities to bill medicare on his behalf.

Entity Name	Ellie Family Services Pllp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740664150 PECOS PAC ID: 8325309669 Enrollment ID: O20180228001972

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. Jimmy Quach 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
Jimmy Quach, 3211 Fremont Ave S Apt 4, Minneapolis, MN 55408-3532 Ph: () -	Jimmy Quach, 6040 Earle Brown Dr Ste 100, Brooklyn Center, MN 55430-2561 Ph: (651) 313-8080

Reviews and Comments

Counselor in Brooklyn Center, MN

Julie Davis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7203 Perry Ct E, Brooklyn Center, MN 55429 Phone: 612-540-0643
Mr. Matthew Louis Schaut, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4408 69th Ave N, Brooklyn Center, MN 55429 Phone: 763-566-3650 Fax: 763-566-4217
Heather Louise Carriere, MED, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5910 Shingle Creek Pkwy, Brooklyn Center, MN 55430 Phone: 763-569-5201 Fax: 763-569-5240
Lamia Mohamed Abdirahman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7203 Perry Ct E, Brooklyn Center, MN 55429 Phone: 612-540-0643
Marita Glasgow, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5910 Shingle Creek Pkwy, Brooklyn Center, MN 55430 Phone: 763-569-2401 Fax: 763-569-5240
Abdullahi M Hassan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6040 Earle Brown Dr Ste 300, Brooklyn Center, MN 55430 Phone: 612-707-7530
Steven Schnell, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 5615 Brooklyn Blvd, Suite 105, Brooklyn Center, MN 55429 Phone: 763-531-0566 Fax: 763-531-0602

Jimmy Quach, - Medicare Counselor in Brooklyn Center, MN