Ms Jacqualine Kay Gervais, PMHNP in Moorhead, MN

Ms Jacqualine Kay Gervais, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Moorhead, Minnesota. Her current practice location is 819 30th Ave S Ste 206, Moorhead, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 477-1353.

Ms Jacqualine Kay Gervais is licensed to practice in North Dakota (license number R32567) 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 1336481803.

Contact Information

	Ms Jacqualine Kay Gervais, PMHNP
	819 30th Ave S Ste 206, Moorhead, MN 56560-5054
	(218) 477-1353
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Jacqualine Kay Gervais
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	819 30th Ave S Ste 206, Moorhead, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336481803
Provider Enumeration Date: 03/22/2013
Last Update Date: 08/23/2021

Medicare PECOS Information:

PECOS PAC ID: 1658519632
Enrollment ID: I20130603000617

Medical Identifiers

Medical identifiers for Ms Jacqualine Kay Gervais such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336481803	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R32567 (North Dakota)	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 Jacqualine Kay Gervais allows following entities to bill medicare on her behalf.

Entity Name	Psj Acquisition Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679709802 PECOS PAC ID: 7012062235 Enrollment ID: O20090918000240

Entity Name	Midwest Mental Health Clinic Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861877052 PECOS PAC ID: 6204216070 Enrollment ID: O20220711002159

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 Jacqualine Kay Gervais 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 Jacqualine Kay Gervais, PMHNP 819. 30 Ave S Office 206, Moorhead, MN 56560 Ph: (218) 233-2288	Ms Jacqualine Kay Gervais, PMHNP 819 30th Ave S Ste 206, Moorhead, MN 56560-5054 Ph: (218) 477-1353

Reviews and Comments

Nurse Practitioner Nurses in Moorhead, MN

Carley Marie Bayer, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4000 28th Ave S, Moorhead, MN 56560 Phone: 701-234-3200
Laura J Wilner, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 803 Belsly Blvd # 2, Moorhead, MN 56560 Phone: 218-236-7145
Kyra Decker, MSN, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4000 28th Ave S, Moorhead, MN 56560 Phone: 701-234-3261
Amy Joy Bro, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4000 28th Ave S, Moorhead, MN 56560 Phone: 701-234-3200
Jill Mcmullen, D.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1547 30th Ave S, Moorhead, MN 56560 Phone: 218-287-4338 Fax: 218-287-5928
Rose Mary Eldridge, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1301 8th St S, Moorhead, MN 56560 Phone: 701-234-3200 Fax: 701-234-3286
Amanda Oney, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4000 28th Ave S, Moorhead, MN 56560 Phone: 701-234-3200 Fax: 701-234-3239

Ms Jacqualine Kay Gervais, PMHNP - Medicare Nurse Practitioner in Moorhead, MN