Jacquelyn Lee Kerkow-dohmen, LICSW in Shakopee, MN - Medicare Social Worker Provider

Jacquelyn Lee Kerkow-dohmen, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Shakopee, Minnesota. Her current practice location is 500 Marschall Rd Ste 100, Shakopee, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 448-6557.

Jacquelyn Lee Kerkow-dohmen is licensed to practice in Minnesota (license number 22546) 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 1174186738.

Contact Information

	Jacquelyn Lee Kerkow-dohmen, LICSW
	500 Marschall Rd Ste 100, Shakopee, MN 55379-2689
	(952) 448-6557
	(952) 448-6047

Map and Direction

Healthcare Provider's Profile

Full Name	Jacquelyn Lee Kerkow-dohmen
Gender	Female
Speciality	Social Worker - Clinical
Location	500 Marschall Rd Ste 100, Shakopee, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174186738
Provider Enumeration Date: 04/19/2019
Last Update Date: 05/15/2024

Medicare PECOS Information:

PECOS PAC ID: 9830425354
Enrollment ID: I20190722002209

Medical Identifiers

Medical identifiers for Jacquelyn Lee Kerkow-dohmen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174186738	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	22546 (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. Jacquelyn Lee Kerkow-dohmen allows following entities to bill medicare on her behalf.

Entity Name	Northstar Regional
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659764587 PECOS PAC ID: 8921346669 Enrollment ID: O20190228000530

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. Jacquelyn Lee Kerkow-dohmen 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
Jacquelyn Lee Kerkow-dohmen, LICSW 500 Marschall Rd Ste 300, Shakopee, MN 55379-2690 Ph: (952) 856-3932	Jacquelyn Lee Kerkow-dohmen, LICSW 500 Marschall Rd Ste 100, Shakopee, MN 55379-2689 Ph: (952) 448-6557

Reviews and Comments

Social Worker in Shakopee, MN

Katelyn Rose Weckwerth, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 200 4th Ave W Ste 300, Shakopee, MN 55379 Phone: 952-496-8698
Sarah Underdahl, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 4th Ave W Ste 300, Shakopee, MN 55379 Phone: 952-496-8457 Fax: 952-496-8355
Ms. Kim Harmon, MSW, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 200 4th Ave W, Government Center Rm 300, Shakopee, MN 55379 Phone: 952-496-8155 Fax: 952-496-8355
Karen Jensen, MSW, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 301 Fuller St S, Shakopee, MN 55379 Phone: 952-818-3703 Fax: 952-818-3708
Traci Lyn Hakanson, LISCW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 301 Fuller St S, Shakopee, MN 55379 Phone: 612-280-3048
Allison Thorson, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4572 Bulrush Blvd, Shakopee, MN 55379 Phone: 701-426-0693

Jacquelyn Lee Kerkow-dohmen, LICSW - Medicare Clinical Social Worker in Shakopee, MN