Mr Jacob Ross Tjernlund, LMFT in Saint Paul, MN - Medicare Marriage & Family Therapist Provider

Mr Jacob Ross Tjernlund, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Saint Paul, Minnesota. His current practice location is 1619 Dayton Ave Ste 309, Saint Paul, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 746-2975.

Mr Jacob Ross Tjernlund is licensed to practice in Minnesota (license number 4496) 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 1134943962.

Contact Information

	Mr Jacob Ross Tjernlund, LMFT
	1619 Dayton Ave Ste 309, Saint Paul, MN 55104-6276
	(612) 746-2975
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jacob Ross Tjernlund
Gender	Male
Speciality	Marriage & Family Therapist
Location	1619 Dayton Ave Ste 309, Saint Paul, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134943962
Provider Enumeration Date: 11/08/2024
Last Update Date: 11/08/2024

Medicare PECOS Information:

PECOS PAC ID: 1759817521
Enrollment ID: I20241204002150

Medical Identifiers

Medical identifiers for Mr Jacob Ross Tjernlund such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134943962	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	4496 (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. Mr Jacob Ross Tjernlund allows following entities to bill medicare on his behalf.

Entity Name	Life Development Resources Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902953169 PECOS PAC ID: 5890779847 Enrollment ID: O20040616000985

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. Mr Jacob Ross Tjernlund 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
Mr Jacob Ross Tjernlund, LMFT 983 Carlton Dr, Shoreview, MN 55126-8130 Ph: (651) 295-1223	Mr Jacob Ross Tjernlund, LMFT 1619 Dayton Ave Ste 309, Saint Paul, MN 55104-6276 Ph: (612) 746-2975

Reviews and Comments

Marriage & Family Therapist in Saint Paul, MN

Mrs. Melissa Lea Urbanek, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2550 University Ave W, Ste 435 S, Saint Paul, MN 55114 Phone: 651-647-1900 Fax: 651-647-1861
Erin Morgan, PHD Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 970 Raymond Ave Ste 106, Saint Paul, MN 55114 Phone: 612-208-8870
Mai Bao Xiong, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 451 Lexington Pkwy N, Saint Paul, MN 55104 Phone: 651-280-2310 Fax: 651-280-3995
Sarah Lindsey, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1114 Grand Ave, Saint Paul, MN 55105 Phone: 612-229-9188
Linnea Mccosh, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2265 Como Ave, Saint Paul, MN 55108 Phone: 888-364-5977
Nicole Ross, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 740 York Ave, Saint Paul, MN 55106 Phone: 651-793-7367
Megan Jean Boom Shedlock, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4444 Centerville Rd, Suite 235, Saint Paul, MN 55127 Phone: 651-289-9385 Fax: 651-289-3113

Mr Jacob Ross Tjernlund, LMFT - Medicare Couples Therapy in Saint Paul, MN