Jennifer Backus Hardman, MSW, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Saint Paul, Minnesota. Her current practice location is
821 Raymond Ave Ste 315-b, Saint Paul, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(651) 243-0804.
Jennifer Backus Hardman is licensed to practice in Minnesota (license number 23915) 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 1346795168.
Healthcare Provider's Profile
Full Name | Jennifer Backus Hardman |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 821 Raymond Ave Ste 315-b, Saint Paul, 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: 1346795168
- Provider Enumeration Date: 08/22/2016
- Last Update Date: 12/23/2022
Medicare PECOS Information:
- PECOS PAC ID: 6305264995
- Enrollment ID: I20200914002749
Medical Identifiers
Medical identifiers for Jennifer Backus Hardman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346795168 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 23915 (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. Jennifer Backus Hardman allows following entities to bill medicare on her behalf.
Entity Name | Jennie Hardman Therapy |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013532514 PECOS PAC ID: 4587082177 Enrollment ID: O20200914002652 |
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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. Jennifer Backus Hardman 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 |
Jennifer Backus Hardman, MSW, LICSW 821 Raymond Ave Ste 315-b, Saint Paul, MN 55114-1532 Ph: (651) 243-0804 | Jennifer Backus Hardman, MSW, LICSW 821 Raymond Ave Ste 315-b, Saint Paul, MN 55114-1503 Ph: (651) 243-0804 |
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