Ms Jennifer Marie Nelson, MA is a medicare enrolled "Community/behavioral Health" provider in Golden Valley, Minnesota. Her current practice location is
8085 Wayzata Blvd Suite 215, Golden Valley, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(206) 947-2645.
Ms Jennifer Marie Nelson is licensed to practice in Minnesota (license number 02466) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1912925017.
Healthcare Provider's Profile
| Full Name | Ms Jennifer Marie Nelson |
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| Gender | Female |
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| Speciality | Community/behavioral Health |
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| Location | 8085 Wayzata Blvd Suite 215, Golden Valley, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1912925017
- Provider Enumeration Date: 07/17/2006
- Last Update Date: 08/27/2021
Medicare PECOS Information:
- PECOS PAC ID: 3375805781
- Enrollment ID: I20250306001226
Medical Identifiers
Medical identifiers for Ms Jennifer Marie Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912925017 | NPI | - | NPPES |
| 1912925017 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | LH00008407 (Washington) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CP60181716 (Washington) | Secondary |
| 101YM0800X | Counselor - Mental Health | LH00008407 (Washington) | Secondary |
| 101YP2500X | Counselor - Professional | 00212 (Minnesota) | Secondary |
| 251S00000X | Community/behavioral Health | LH00008407 (Washington) | Secondary |
| 251S00000X | Community/behavioral Health | 02466 (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. Ms Jennifer Marie Nelson allows following entities to bill medicare on her behalf.
| Entity Name | Sondermind Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710647581
PECOS PAC ID: 3577099621
Enrollment ID: O20241230001256 |
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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. Ms Jennifer Marie Nelson 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 |
|---|
Ms Jennifer Marie Nelson, MA
8085 Wayzata Blvd Suite 215,
Golden Valley, MN 55426
Ph: (206) 947-2645 | Ms Jennifer Marie Nelson, MA
8085 Wayzata Blvd Suite 215,
Golden Valley, MN 55426
Ph: (206) 947-2645 |
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