Jenna Rose Broihahn, in Maple Grove, MN - Medicare Occupational Therapist Provider

Jenna Rose Broihahn, is a medicare enrolled "Occupational Therapist" provider in Maple Grove, Minnesota. Her current practice location is 11318 86th Ave N, Maple Grove, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 773-5988.

Jenna Rose Broihahn is licensed to practice in Minnesota (license number 107637) 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 1447878186.

Contact Information

	Jenna Rose Broihahn,
	11318 86th Ave N, Maple Grove, MN 55369-4528
	(651) 773-5988
	(612) 314-5286

Map and Direction

Healthcare Provider's Profile

Full Name	Jenna Rose Broihahn
Gender	Female
Speciality	Occupational Therapist
Location	11318 86th Ave N, Maple Grove, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447878186
Provider Enumeration Date: 07/09/2020
Last Update Date: 10/09/2025

Medicare PECOS Information:

PECOS PAC ID: 8022533546
Enrollment ID: I20250417000601

Medical Identifiers

Medical identifiers for Jenna Rose Broihahn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447878186	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	107637 (Minnesota)	Primary
106S00000X	Behavior Technician	(* (Not Available))	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. Jenna Rose Broihahn allows following entities to bill medicare on her behalf.

Provider Name	Park Nicollet Clinic
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046

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. Jenna Rose Broihahn 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
Jenna Rose Broihahn, 11318 86th Ave N, Maple Grove, MN 55369-4528 Ph: (612) 314-5286	Jenna Rose Broihahn, 11318 86th Ave N, Maple Grove, MN 55369-4528 Ph: (651) 773-5988

Reviews and Comments

Occupational Therapist in Maple Grove, MN

Ms. Renee Haroldson, OTRL CHT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 14500 99th Ave N, #1-210, Maple Grove, MN 55369 Phone: 763-898-1778 Fax: 763-898-1771
Jennifer Alders, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 6936 Garland Ln N, Maple Grove, MN 55311 Phone: 763-416-9313 Fax: 763-416-4530
Mark A Narveson, O.T. Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 7767 Elm Creek Blvd N Ste 160, Maple Grove, MN 55369 Phone: 763-201-8191
Heather Renee Elder, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 7767 Elm Creek Blvd N Ste 160, Maple Grove, MN 55369 Phone: 763-201-8191 Fax: 763-201-8192
Mrs. Cheryl Anne Salim, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 16500 92nd Ave N, Maple Grove, MN 55311 Phone: 763-493-5910
Megan Kay Holmgren, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6936 Garland Ln N, Maple Grove, MN 55311 Phone: 763-416-9313
Inga Rohde, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 11100 86th Ave N, Maple Grove, MN 55369 Phone: 763-755-4275

Jenna Rose Broihahn, - Medicare Occupational Therapist in Maple Grove, MN