Jessica Grundmann, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Lester Prairie, Minnesota. Her current practice location is
19482 County Road 9, Lester Prairie, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(952) 769-3655.
Jessica Grundmann is licensed to practice in Minnesota (license number 26165) 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 1407677677.
Healthcare Provider's Profile
| Full Name | Jessica Grundmann |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 19482 County Road 9, Lester Prairie, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1407677677
- Provider Enumeration Date: 10/21/2024
- Last Update Date: 10/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 7012442858
- Enrollment ID: I20241203001111
Medical Identifiers
Medical identifiers for Jessica Grundmann such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1407677677 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | 26165 (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. Jessica Grundmann allows following entities to bill medicare on her behalf.
| Entity Name | Grow Healthcare Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20230310000874 |
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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 Grundmann 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 |
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Jessica Grundmann, LICSW
19482 County Road 9,
Lester Prairie, MN 55354-6302
Ph: (952) 769-3655 | Jessica Grundmann, LICSW
19482 County Road 9,
Lester Prairie, MN 55354-6302
Ph: (952) 769-3655 |
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