Mrs Kirsten Elizabeth Jankovich, MA LMFT in Champlin, MN - Medicare Marriage & Family Therapist Provider

Mrs Kirsten Elizabeth Jankovich, MA LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Champlin, Minnesota. Her current practice location is 11165 Zealand Ave N, Champlin, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 531-0566.

Mrs Kirsten Elizabeth Jankovich is licensed to practice in Minnesota (license number LMFT1479) 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 1679536973.

Contact Information

	Mrs Kirsten Elizabeth Jankovich, MA LMFT
	11165 Zealand Ave N, Champlin, MN 55316-3595
	(763) 531-0566
	(763) 531-0602

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kirsten Elizabeth Jankovich
Gender	Female
Speciality	Marriage & Family Therapist
Location	11165 Zealand Ave N, Champlin, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679536973
Provider Enumeration Date: 04/08/2006
Last Update Date: 02/13/2025

Medicare PECOS Information:

PECOS PAC ID: 9234438185
Enrollment ID: I20250306001388

Medical Identifiers

Medical identifiers for Mrs Kirsten Elizabeth Jankovich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679536973	NPI	-	NPPES
558918500	Other		MEDICAL ASSISTANCE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	LMFT1479 (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. Mrs Kirsten Elizabeth Jankovich allows following entities to bill medicare on her behalf.

Entity Name	North Psychology Clinic Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265462212 PECOS PAC ID: 3870545668 Enrollment ID: O20050221000501

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. Mrs Kirsten Elizabeth Jankovich 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
Mrs Kirsten Elizabeth Jankovich, MA LMFT 11165 Zealand Ave N, Champlin, MN 55316-3595 Ph: (763) 531-0566	Mrs Kirsten Elizabeth Jankovich, MA LMFT 11165 Zealand Ave N, Champlin, MN 55316-3595 Ph: (763) 531-0566

Reviews and Comments

Marriage & Family Therapist in Champlin, MN

Mrs. Shelly Marie Davenport, MS, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 11141 Zealand Ave N, Champlin, MN 55316 Phone: 763-951-3091 Fax: 763-951-3097
Dr. Paul John Dousi, PHD, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6300 117th Ave N, Champlin, MN 55316 Phone: 763-458-0154 Fax: 763-427-5688
Mrs. Christy L Kane, LAMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 11188 Zealand Ave N, Champlin, MN 55316 Phone: 763-401-7318 Fax: 763-220-6025
Erica Lynne Gruidl, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 11116 Zealand Ave N, Champlin, MN 55316 Phone: 763-746-0842 Fax: 763-746-0843
Gary R Sandberg, M.A. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11141 Zealand Ave N, Champlin, MN 55316 Phone: 763-291-7065
Anne M Carroll, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11188 Zealand Ave N, Champlin, MN 55316 Phone: 612-991-8949

Mrs Kirsten Elizabeth Jankovich, MA LMFT - Medicare Couples Therapy in Champlin, MN