Jacquelyn Warner, RD in St Louis Park, MN - Medicare Dietitian, Registered Provider

Jacquelyn Warner, RD is a medicare enrolled "Dietitian, Registered" provider in St Louis Park, Minnesota. Her current practice location is 3525 Monterey Dr, St Louis Park, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 993-6200.

Jacquelyn Warner is licensed to practice in Minnesota (license number 3629) 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 1023483757.

Contact Information

	Jacquelyn Warner, RD
	3525 Monterey Dr, St Louis Park, MN 55416-5275
	(952) 993-6200
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacquelyn Warner
Gender	Female
Speciality	Dietitian, Registered
Location	3525 Monterey Dr, St Louis Park, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023483757
Provider Enumeration Date: 12/07/2015
Last Update Date: 04/13/2023

Medicare PECOS Information:

PECOS PAC ID: 8729385968
Enrollment ID: I20160401001143

Medical Identifiers

Medical identifiers for Jacquelyn Warner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023483757	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	3629 (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. Jacquelyn Warner allows following entities to bill medicare on her behalf.

Provider Name	Park Nicollet Clinic
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046

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. Jacquelyn Warner 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
Jacquelyn Warner, RD 1449 Cleveland Ave N, Saint Paul, MN 55108-1413 Ph: () -	Jacquelyn Warner, RD 3525 Monterey Dr, St Louis Park, MN 55416-5275 Ph: (952) 993-6200

Reviews and Comments

Dietitian, Registered in St Louis Park, MN

Arlene M Monk, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-6666
Diane M Reader, RD Dietitian Medicare: Medicare Enrolled Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-7169 Fax: 952-993-0300
Britta L Mattison, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3435
Colleen Fischer, RD Dietitian Medicare: Medicare Enrolled Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3393
Lindsey Smith, RD, LD Dietitian Medicare: Medicare Enrolled Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3393
Karen M Rowehl, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6465 Wayzata Blvd, Ste 210, St Louis Park, MN 55426 Phone: 952-993-7169 Fax: 952-993-0300

Jacquelyn Warner, RD - Medicare Dietitian in St Louis Park, MN