Jill Marie Stoks, PHMNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Walnut Grove, Minnesota. Her current practice location is
13526 Camp Ave, Walnut Grove, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(507) 626-5638.
Jill Marie Stoks is licensed to practice in Minnesota (license number 12696) 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 1750993317.
Provider's Profile
| Full Name | Jill Marie Stoks |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 13526 Camp Ave, Walnut Grove, 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: 1750993317
- Provider Enumeration Date: 08/17/2020
- Last Update Date: 04/01/2025
Medicare PECOS Information:
- PECOS PAC ID: 8527583509
- Enrollment ID: I20250424001756
Medical Identifiers
Medical identifiers for Jill Marie Stoks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1750993317 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 12696 (Minnesota) | Primary |
| 163W00000X | Registered Nurse | 2321062 (Minnesota) | Secondary |
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. Jill Marie Stoks allows following entities to bill medicare on her behalf.
| Entity Name | Western Mental Health Center, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982613311
PECOS PAC ID: 7315856119
Enrollment ID: O20040226000053 |
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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. Jill Marie Stoks 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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Jill Marie Stoks, PHMNP
1212 E College Dr,
Marshall, MN 56258-2713
Ph: (507) 532-3236 | Jill Marie Stoks, PHMNP
13526 Camp Ave,
Walnut Grove, MN 56180-5343
Ph: (507) 626-5638 |
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