Ms Jennifer Marie Nelson, MA is a medicare enrolled "Community/behavioral Health" provider in Golden Valley, Minnesota. She graduated from healthcare school in 1999 and has 27 years of diverse experience with area of expertise as Mental Health Counselor. 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
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 1912925017.
Healthcare Provider's Profile
| Full Name | Ms Jennifer Marie Nelson |
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| Gender | Female |
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| Speciality | Mental Health Counselor |
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| Experience | 27 Years |
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| Location | 8085 Wayzata Blvd Suite 215, Golden Valley, 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:
- Ms Jennifer Marie Nelson graduated from medical school in 1999
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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| Entity Name | Mental Health Specialty Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801472634
PECOS PAC ID: 8921466228
Enrollment ID: O20250226000632 |
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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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