Jackie Lyn Micklewright, PHD - Medicare in Saint Paul, MN

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Jackie Lyn Micklewright, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Saint Paul, Minnesota. She graduated from medical school in 2009 and has 17 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Healthwise Psychology Pa, Allina Health System and her current practice location is 280 Smith Ave N Ste 220, Saint Paul, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 241-8295.

Jackie Lyn Micklewright is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1669705638.

Contact Information

Jackie Lyn Micklewright, PHD
280 Smith Ave N Ste 220,
Saint Paul, MN 55102-2459
(651) 241-8295
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJackie Lyn Micklewright
GenderFemale
SpecialityClinical Psychologist
Experience17 Years
Location280 Smith Ave N Ste 220, Saint Paul, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jackie Lyn Micklewright graduated from medical school in 2009
  NPI Data:
  • NPI Number: 1669705638
  • Provider Enumeration Date: 09/09/2009
  • Last Update Date: 04/28/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 0345411674
  • Enrollment ID: I20110919000350

Medical Identifiers

Medical identifiers for Jackie Lyn Micklewright such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669705638NPI-NPPES
680003191OtherMNMEDICARE PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical LP5324 (Minnesota)Secondary
103G00000XClinical Neuropsychologist (* (Not Available))Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Allina United HospitalSaint paul, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Healthwise Psychology Pa256768564733
Allina Health System45875736133861

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. Jackie Lyn Micklewright allows following entities to bill medicare on her behalf.
Entity NameHealtheast Medical Research Institute
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639125503
PECOS PAC ID: 3971407636
Enrollment ID: O20031124000507
Entity NameAllina Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295272342
PECOS PAC ID: 4587573613
Enrollment ID: O20040319000460
Entity NameHealthwise Psychology Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184920753
PECOS PAC ID: 2567685647
Enrollment ID: O20140516001784

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. Jackie Lyn Micklewright 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 AddressPractice Location Address
Jackie Lyn Micklewright, PHD
2925 Chicago Ave,
Minneapolis, MN 55407-1321

Ph: (612) 262-5000		Jackie Lyn Micklewright, PHD
280 Smith Ave N Ste 220,
Saint Paul, MN 55102-2459

Ph: (651) 241-8295

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.