Jacquelyn Faith Mirr, MD - Medicare Obstetrics & Gynecology in Woodbury, MN

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Jacquelyn Faith Mirr, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Woodbury, Minnesota. Her current practice location is 1687 Woodlane Dr Ste And102, Woodbury, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 600-3035.

Jacquelyn Faith Mirr is licensed to practice in Minnesota (license number 74576) 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 1679132989.

Contact Information

Jacquelyn Faith Mirr, MD
1687 Woodlane Dr Ste And102,
Woodbury, MN 55125-3045
(651) 600-3035
Not Available

Map and Direction




Physician's Profile

Full NameJacquelyn Faith Mirr
GenderFemale
SpecialityObstetrics & Gynecology
Location1687 Woodlane Dr Ste And102, Woodbury, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679132989
  • Provider Enumeration Date: 06/10/2019
  • Last Update Date: 09/29/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9537495635
  • Enrollment ID: I20240415002912

Medical Identifiers

Medical identifiers for Jacquelyn Faith Mirr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679132989NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 74576 (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 Faith Mirr allows following entities to bill medicare on her behalf.
Entity NameMinnesota Womens Care Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518221779
PECOS PAC ID: 9638329394
Enrollment ID: O20121016000226

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 Faith Mirr 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 AddressPractice Location Address
Jacquelyn Faith Mirr, MD
1687 Woodlane Dr Ste 101&102,
Woodbury, MN 55125-3045

Ph: (651) 600-3035		Jacquelyn Faith Mirr, MD
1687 Woodlane Dr Ste And102,
Woodbury, MN 55125-3045

Ph: (651) 600-3035

Reviews and Comments


Obstetrics & Gynecology Doctors in Woodbury, MN

Jessica Ann Thomes Pepin, M.D.
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Practice Location: 6025 Lake Rd Ste 110, Woodbury, MN 55125
Phone: 651-735-7414    Fax: 651-735-1827
Melvin Ashford, MD
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Practice Location: 10731 Hawthorn Trl, Woodbury, MN 55129
Phone: 651-253-4089    
Katelyn Elizabeth Klimstra, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 8450 Seasons Pkwy, Woodbury, MN 55125
Phone: 651-702-5300    
Ruby Leigh Russell,
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Medicare: Medicare Enrolled
Practice Location: 8450 Seasons Pkwy, Woodbury, MN 55125
Phone: 651-702-5300    
Justin C Boeke, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 215 Radio Dr Ste 200, Woodbury, MN 55125
Phone: 651-686-6400    
Dr. Amy Jane Engebretson, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 1875 Woodwinds Dr, Suite 110, Woodbury, MN 55125
Phone: 651-686-6400    Fax: 651-714-1264
Wanda P. Adefris, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1875 Woodwinds Dr, Suite 110, Woodbury, MN 55125
Phone: 651-686-6400    Fax: 651-714-1264

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.