Dr Kimberly Jacks, AUD - Medicare Audiologist in Inver Grove Heights, MN

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Dr Kimberly Jacks, AUD is a medicare enrolled "Audiologist" provider in Inver Grove Heights, Minnesota. Her current practice location is 5565 Blaine Ave Ste 225, Inver Grove Heights, Minnesota. You can reach out to her office (for appointments etc.) via phone at (404) 297-4230.

Dr Kimberly Jacks is licensed to practice in Minnesota (license number 10161) 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 1689195422.

Contact Information

Dr Kimberly Jacks, AUD
5565 Blaine Ave Ste 225,
Inver Grove Heights, MN 55076-1239
(404) 297-4230
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Kimberly Jacks
GenderFemale
SpecialityAudiologist
Location5565 Blaine Ave Ste 225, Inver Grove Heights, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1689195422
  • Provider Enumeration Date: 07/02/2017
  • Last Update Date: 01/31/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6406129337
  • Enrollment ID: I20181018000363

Medical Identifiers

Medical identifiers for Dr Kimberly Jacks such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689195422NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
231H00000XAudiologist AUD004099 (Georgia)Secondary
231H00000XAudiologist 10161 (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. Dr Kimberly Jacks allows following entities to bill medicare on her behalf.
Provider NamePark Nicollet Clinic
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1780621904
PECOS PAC ID: 7911819438
Enrollment ID: O20031104000046
Provider NameAndros Ent & Sleep Center Pa
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1578807491
PECOS PAC ID: 0244478188
Enrollment ID: O20130604000638

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. Dr Kimberly Jacks 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
Dr Kimberly Jacks, AUD
Northside Hospital Managed Care Department, 1000 Johnson Ferry Rd Ne,
Atlatna, GA 30342-3034

Ph: (404) 851-8097		Dr Kimberly Jacks, AUD
5565 Blaine Ave Ste 225,
Inver Grove Heights, MN 55076-1239

Ph: (404) 297-4230

Reviews and Comments


Audiologist in Inver Grove Heights, MN

Alexandra Elena Edwards, AU.D.
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 5565 Blaine Ave, Suite 225 And Suite 275, Inver Grove Heights, MN 55076
Phone: 651-888-7801    Fax: 651-888-7801
Dr. Kylie Sandor, AU.D.
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 5565 Blaine Ave, Inver Grove Heights, MN 55076
Phone: 651-888-7800    Fax: 651-888-7801
Mrs. Cindy Eileen Nilsen, M.S., CCC-A
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 5565 Blaine Ave, Ste 225, Inver Grove Heights, MN 55076
Phone: 651-888-7800    Fax: 651-452-9282
Madilyn Nicole Guith, AUD
Audiologist
Medicare: Accepting Medicare Assignments
Practice Location: 5565 Blaine Ave Ste 225, Inver Grove Heights, MN 55076
Phone: 651-888-7800    

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.