Jessica Beth Connolly Russow, AUD - Medicare Audiologist in St Louis Park, MN

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Jessica Beth Connolly Russow, AUD is a medicare enrolled "Audiologist" provider in St Louis Park, Minnesota. Her current practice location is 3800 Park Nicollet Blvd, St Louis Park, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 993-3123.

Jessica Beth Connolly Russow is licensed to practice in * (Not Available) (license number 9519) 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 1952786576.

Contact Information

Jessica Beth Connolly Russow, AUD
3800 Park Nicollet Blvd,
St Louis Park, MN 55416-2527
(952) 993-3123
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJessica Beth Connolly Russow
GenderFemale
SpecialityAudiologist
Location3800 Park Nicollet Blvd, St Louis Park, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1952786576
  • Provider Enumeration Date: 07/24/2015
  • Last Update Date: 11/13/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 3072828995
  • Enrollment ID: I20150820010930

Medical Identifiers

Medical identifiers for Jessica Beth Connolly Russow such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952786576NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
231H00000XAudiologist 9519 (* (Not Available))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. Jessica Beth Connolly Russow allows following entities to bill medicare on her behalf.
Provider NameGroup Health Plan Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1710924683
PECOS PAC ID: 1759293954
Enrollment ID: O20031105000417
Provider NameFairview Health Services
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1013994359
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461

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. Jessica Beth Connolly Russow 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
Jessica Beth Connolly Russow, AUD
4225 Nathan Ln N,
Plymouth, MN 55441-1633

Ph: (612) 619-3987		Jessica Beth Connolly Russow, AUD
3800 Park Nicollet Blvd,
St Louis Park, MN 55416-2527

Ph: (952) 993-3123

Reviews and Comments


Audiologist in St Louis Park, MN

Mr. Jeffery Allen Dodds, CCC-A
Audiologist
Medicare: Accepting Medicare Assignments
Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416
Phone: 952-993-1250    
Jennifer Marie Lien, MA
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416
Phone: 952-993-3886    Fax: 952-993-1250
Randi Rankl,
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 3800 Park Nicollet Blvd Ste 550, St Louis Park, MN 55416
Phone: 952-993-1880    
Ms. Katrina Joy Bruemmer Balvance, MA
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416
Phone: 952-993-1880    
Kiersten Steinke, AU.D.
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 6099 Wayzata Blvd, St Louis Park, MN 55416
Phone: 952-232-4835    
Mrs. Janene Marie Widen, CCC-A
Audiologist
Medicare: Accepting Medicare Assignments
Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416
Phone: 952-993-1250    
Claire Coote, AU.D., CCC-A
Audiologist
Medicare: Accepting Medicare Assignments
Practice Location: 6099 Wayzata Blvd, Xchange Medical Building, Ste 200, St Louis Park, MN 55416
Phone: 612-871-1144    Fax: 865-544-5816

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.