Mardiya Kassim Jaffer, in Saint Paul, MN - Medicare Nurse Practitioner

Mardiya Kassim Jaffer, is a medicare enrolled "Nurse Practitioner - Family" in Saint Paul, Minnesota. Her current practice location is 205 Wabasha St S, Saint Paul, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 853-8800.

Mardiya Kassim Jaffer is licensed to practice in Minnesota (license number 1977213) 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 1215436076.

Contact Information

	Mardiya Kassim Jaffer,
	205 Wabasha St S, Saint Paul, MN 55107-1805
	(952) 853-8800
	Not Available

Map and Direction

Provider's Profile

Full Name	Mardiya Kassim Jaffer
Gender	Female
Speciality	Nurse Practitioner - Family
Location	205 Wabasha St S, Saint Paul, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215436076
Provider Enumeration Date: 02/07/2018
Last Update Date: 02/11/2019

Medicare PECOS Information:

PECOS PAC ID: 1254695042
Enrollment ID: I20180502001710

Medical Identifiers

Medical identifiers for Mardiya Kassim Jaffer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215436076	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	5725 (Minnesota)	Secondary
363LF0000X	Nurse Practitioner - Family	1977213 (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. Mardiya Kassim Jaffer allows following entities to bill medicare on her behalf.

Entity Name	Group Health Plan Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417

Entity Name	Swenson Psychological Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740429307 PECOS PAC ID: 9638200793 Enrollment ID: O20100706000654

Entity Name	Lakeshore Community Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437892403 PECOS PAC ID: 9335519891 Enrollment ID: O20221228001810

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. Mardiya Kassim Jaffer 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
Mardiya Kassim Jaffer, 8170 33rd Ave S # Ms 21110q, Minneapolis, MN 55425-4516 Ph: (952) 853-8800	Mardiya Kassim Jaffer, 205 Wabasha St S, Saint Paul, MN 55107-1805 Ph: (952) 853-8800

Reviews and Comments

Nurse Practitioner Nurses in Saint Paul, MN

Leslie Ewens, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 671 Vandalia St, Saint Paul, MN 55114 Phone: 651-698-2406
Michelle Coleen Hicks, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 205 Wabasha St S, Saint Paul, MN 55107 Phone: 651-293-8100 Fax: 651-293-8106
Sadie Marie Nelson, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 Smith Ave N Ste 300, Saint Paul, MN 55102 Phone: 651-241-5000 Fax: 651-240-5511
Mrs. Sarah Lynne Potts, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 Smith Ave N Ste 400, Saint Paul, MN 55102 Phone: 651-241-8000
Doreatha J Baker, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 347 Smith Ave N, Saint Paul, MN 55102 Phone: 651-220-6708 Fax: 651-220-6589
Jeanne Rancone, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 153 Cesar Chavez St, Saint Paul, MN 55107 Phone: 651-222-1816 Fax: 651-602-7517
Amy F Larson, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 295 Phalen Blvd, Saint Paul, MN 55130 Phone: 651-495-6300 Fax: 952-967-7616

Mardiya Kassim Jaffer, - Medicare Nurse Practitioner in Saint Paul, MN