Jacqueline Pena, in Minneapolis, MN - Medicare Counselor Provider

Jacqueline Pena, is a medicare enrolled "Counselor - Professional" provider in Minneapolis, Minnesota. Her current practice location is 3801 W 50th St Ste 250b, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 400-9685.

Jacqueline Pena is licensed to practice in Minnesota (license number 4397) 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 1073163564.

Contact Information

	Jacqueline Pena,
	3801 W 50th St Ste 250b, Minneapolis, MN 55410-2070
	(612) 400-9685
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacqueline Pena
Gender	Female
Speciality	Counselor - Professional
Location	3801 W 50th St Ste 250b, Minneapolis, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073163564
Provider Enumeration Date: 09/17/2019
Last Update Date: 05/30/2024

Medicare PECOS Information:

PECOS PAC ID: 7012459415
Enrollment ID: I20240612002666

Medical Identifiers

Medical identifiers for Jacqueline Pena such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073163564	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	4397 (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. Jacqueline Pena allows following entities to bill medicare on her behalf.

Entity Name	Nystrom & Associates Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396750188 PECOS PAC ID: 6406752492 Enrollment ID: O20031210000592

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. Jacqueline Pena 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
Jacqueline Pena, 3165 Countryside Ave Unit F, Saint Paul, MN 55129-7833 Ph: (704) 451-8011	Jacqueline Pena, 3801 W 50th St Ste 250b, Minneapolis, MN 55410-2070 Ph: (612) 400-9685

Reviews and Comments

Counselor in Minneapolis, MN

Nelson Perez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 720 E Lake St, Minneapolis, MN 55407 Phone: 612-746-3500 Fax: 612-871-1058
Daniel James Madsen, MA, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 510 1st Ave N Ste 601, Minneapolis, MN 55403 Phone: 612-367-6929
Claire Marie Olson, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5812 Lyndale Ave S, Minneapolis, MN 55419 Phone: 612-243-4108 Fax: 612-869-0313
Luke Yost, Counselor Medicare: Medicare Enrolled Practice Location: 621 W Lake St, Minneapolis, MN 55408 Phone: 507-530-5507
Mrs. Carmody Alice Sime, LPCC, LADC Counselor Medicare: Medicare Enrolled Practice Location: 701 Park Ave, Minneapolis, MN 55415 Phone: 612-432-2008
Heather Grovum, Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 W 48th St, Minneapolis, MN 55419 Phone: 701-740-4783
Sumaya Yusuf, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3300 5th St Ne Ste 201, Minneapolis, MN 55418 Phone: 651-855-8209

Jacqueline Pena, - Medicare Counselor in Minneapolis, MN