Jessica Borgstrom, CNM is a medicare enrolled "Advanced Practice Midwife" in Monticello, Minnesota. Her current practice location is
1001 Hart Blvd #100, Monticello, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(763) 295-2921.
Jessica Borgstrom is licensed to practice in Minnesota (license number CNM 0323) 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 1467994962.
Provider's Profile
| Full Name | Jessica Borgstrom |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 1001 Hart Blvd #100, Monticello, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1467994962
- Provider Enumeration Date: 11/15/2016
- Last Update Date: 03/17/2022
Medicare PECOS Information:
- PECOS PAC ID: 0840572236
- Enrollment ID: I20170119001657
Medical Identifiers
Medical identifiers for Jessica Borgstrom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1467994962 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | CNM 0323 (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. Jessica Borgstrom allows following entities to bill medicare on her behalf.
| Entity Name | Stellis Health Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184664674
PECOS PAC ID: 1153233796
Enrollment ID: O20031103000458 |
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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. Jessica Borgstrom 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 |
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Jessica Borgstrom, CNM
1700 Highway 25 N,
Buffalo, MN 55313-1930
Ph: (763) 682-1313 | Jessica Borgstrom, CNM
1001 Hart Blvd #100,
Monticello, MN 55362
Ph: (763) 295-2921 |
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