Jackie Elvehjem, is a medicare enrolled "Counselor - Mental Health" provider in Saint Joseph, Minnesota. Her current practice location is
37 College Ave S, Saint Joseph, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(320) 363-3236.
Jackie Elvehjem is licensed to practice in Minnesota (license number CC03244) 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 1154019503.
Healthcare Provider's Profile
Full Name | Jackie Elvehjem |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 37 College Ave S, Saint Joseph, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1154019503
- Provider Enumeration Date: 04/25/2023
- Last Update Date: 04/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 9537510425
- Enrollment ID: I20240104002208
Medical Identifiers
Medical identifiers for Jackie Elvehjem such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154019503 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | CC03244 (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. Jackie Elvehjem allows following entities to bill medicare on her behalf.
Entity Name | St Cloud Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043269798 PECOS PAC ID: 4880594779 Enrollment ID: O20110221000134 |
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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. Jackie Elvehjem 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 |
Jackie Elvehjem, 1221 29th Ave N, Saint Cloud, MN 56303-1645 Ph: (320) 424-3326 | Jackie Elvehjem, 37 College Ave S, Saint Joseph, MN 56374-2099 Ph: (320) 363-3236 |
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