Ms Jennifer Joy Kortgard, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Saint Paul, Minnesota. Her current practice location is
1919 University Ave W Ste 200, Saint Paul, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(651) 266-7999.
Ms Jennifer Joy Kortgard is licensed to practice in Minnesota (license number 21266) 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 1376911362.
Healthcare Provider's Profile
| Full Name | Ms Jennifer Joy Kortgard |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1919 University Ave W Ste 200, 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. |
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NPI Data:
- NPI Number: 1376911362
- Provider Enumeration Date: 09/08/2015
- Last Update Date: 09/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 9335403674
- Enrollment ID: I20180514001312
Medical Identifiers
Medical identifiers for Ms Jennifer Joy Kortgard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1376911362 | NPI | - | NPPES |
| 1255805800 | Medicaid | MN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 21266 (Minnesota) | Secondary |
| 1041C0700X | Social Worker - Clinical | 21266 (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. Ms Jennifer Joy Kortgard allows following entities to bill medicare on her behalf.
| Entity Name | Accend Services Incorporated |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417023458
PECOS PAC ID: 8224134739
Enrollment ID: O20070430000468 |
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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. Ms Jennifer Joy Kortgard 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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Ms Jennifer Joy Kortgard, LICSW
2618 N 4th St,
Minneapolis, MN 55411-2159
Ph: (612) 201-1893 | Ms Jennifer Joy Kortgard, LICSW
1919 University Ave W Ste 200,
Saint Paul, MN 55104-3435
Ph: (651) 266-7999 |
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