Audrey Jacobsen, MD, MPH in Minneapolis, MN

Audrey Jacobsen, MD, MPH is a medicare enrolled "Dermatology" physician in Minneapolis, Minnesota. Her current practice location is 701 Park Ave, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 873-6963.

Audrey Jacobsen is licensed to practice in Minnesota (license number 72444) 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 1669907085.

Contact Information

	Audrey Jacobsen, MD, MPH
	701 Park Ave, Minneapolis, MN 55415-1623
	(612) 873-6963
	Not Available

Map and Direction

Physician's Profile

Full Name	Audrey Jacobsen
Gender	Female
Speciality	Dermatology
Location	701 Park Ave, 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: 1669907085
Provider Enumeration Date: 04/23/2017
Last Update Date: 03/25/2024

Medicare PECOS Information:

PECOS PAC ID: 1052676053
Enrollment ID: I20220923001189

Medical Identifiers

Medical identifiers for Audrey Jacobsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669907085	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	72444 (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. Audrey Jacobsen allows following entities to bill medicare on her behalf.

Entity Name	Hennepin Healthcare System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033138136 PECOS PAC ID: 4789684861 Enrollment ID: O20070207000467

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. Audrey Jacobsen 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
Audrey Jacobsen, MD, MPH 701 Park Ave, Minneapolis, MN 55415-1623 Ph: (612) 873-3000	Audrey Jacobsen, MD, MPH 701 Park Ave, Minneapolis, MN 55415-1623 Ph: (612) 873-6963

Reviews and Comments

Dermatology Doctors in Minneapolis, MN

Andrea Lynn Bershow, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 516 Delaware St Se, 4-240, Phillips-wangensteen Bldg., Minneapolis, MN 55455 Phone: 612-625-8625 Fax: 612-624-6678
Richard D Steinberg, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2220 Riverside Ave S, Mail Stop 31700a, Minneapolis, MN 55454 Phone: 612-371-1600 Fax: 612-371-1732
Kristen Paige Hook, MD Dermatology Medicare: Medicare Enrolled Practice Location: 3316 W 66th St Ste 200, Minneapolis, MN 55435 Phone: 952-920-3808 Fax: 952-920-8899
Dr. Margareth Pierre-louis, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5000 W 36th St Ste 205, Minneapolis, MN 55416 Phone: 612-268-5005
Lauren Ivey Yorozuya, MD Dermatology Medicare: Medicare Enrolled Practice Location: 420 Delaware Street Se, Mmc 98, Minneapolis, MN 55455 Phone: 612-624-9964
Dr. Sara Anne Hylwa, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 715 S 8th St, Minneapolis, MN 55404 Phone: 612-873-6963
Dr. Maria Kramarczuk Hordinsky, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 516 Delaware Street Se, Clinic 5a, Dermatology Clinic, Minneapolis, MN 55455 Phone: 612-625-5656 Fax: 612-672-7422

Audrey Jacobsen, MD, MPH - Medicare Dermatology in Minneapolis, MN