Jaclyn Marie Bender, DO - Medicare Pediatrics in St Louis Park, MN

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Jaclyn Marie Bender, DO is a medicare enrolled "Pediatrics" physician in St Louis Park, Minnesota. Her current practice location is 1665 Utica Ave S, St Louis Park, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 541-2500.

Jaclyn Marie Bender is licensed to practice in Minnesota (license number 71262) 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 1811420334.

Contact Information

Jaclyn Marie Bender, DO
1665 Utica Ave S,
St Louis Park, MN 55416-3474
(952) 541-2500
Not Available

Map and Direction




Physician's Profile

Full NameJaclyn Marie Bender
GenderFemale
SpecialityPediatrics
Location1665 Utica Ave S, St Louis Park, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1811420334
  • Provider Enumeration Date: 04/11/2017
  • Last Update Date: 09/27/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7416335047
  • Enrollment ID: I20220609001573

Medical Identifiers

Medical identifiers for Jaclyn Marie Bender such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811420334NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 30050 (Minnesota)Secondary
208000000XPediatrics 71262 (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. Jaclyn Marie Bender allows following entities to bill medicare on her behalf.
Entity NameGroup Health Plan Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710924683
PECOS PAC ID: 1759293954
Enrollment ID: O20031105000417

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. Jaclyn Marie Bender 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 AddressPractice Location Address
Jaclyn Marie Bender, DO
2925 Chicago Ave,
Minneapolis, MN 55407-1321

Ph: (612) 262-4400		Jaclyn Marie Bender, DO
1665 Utica Ave S,
St Louis Park, MN 55416-3474

Ph: (952) 541-2500

Reviews and Comments


Pediatrics Doctors in St Louis Park, MN

Patrick Mueller,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3850 Park Nicollet Blvd, St Louis Park, MN 55416
Phone: 952-993-3298    
Karna Lundquist,
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3850 Park Nicollet Blvd, St Louis Park, MN 55416
Phone: 952-993-3298    
Dr. Robert S Karasov, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3850 Park Nicollet Blvd, St Louis Park, MN 55416
Phone: 952-993-3123    
Sara Mcglynn,
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426
Phone: 952-993-7346    
Dr. Michael D Hobbs, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4832 W 27th St, St Louis Park, MN 55416
Phone: 952-217-6309    
Mark A Nammacher, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 6600 Excelsior Blvd, 131, St Louis Park, MN 55426
Phone: 952-401-8290    Fax: 952-401-8243
Dr. Michael B Ainslie, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416
Phone: 952-993-3090    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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