Agnes Limunga Jackai, APRN, CNP, PMHNP-BC in Blaine, MN

Agnes Limunga Jackai, APRN, CNP, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Blaine, Minnesota. Her current practice location is 12125 Vermillion St Ne Unit E, Blaine, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 598-3937.

Agnes Limunga Jackai is licensed to practice in Minnesota (license number PENDING) 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 1891403135.

Contact Information

	Agnes Limunga Jackai, APRN, CNP, PMHNP-BC
	12125 Vermillion St Ne Unit E, Blaine, MN 55449-5678
	(612) 598-3937
	Not Available

Map and Direction

Provider's Profile

Full Name	Agnes Limunga Jackai
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	12125 Vermillion St Ne Unit E, Blaine, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891403135
Provider Enumeration Date: 11/07/2022
Last Update Date: 03/22/2023

Medicare PECOS Information:

PECOS PAC ID: 4486013653
Enrollment ID: I20231005003509

Medical Identifiers

Medical identifiers for Agnes Limunga Jackai such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891403135	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	PENDING (Minnesota)	Secondary

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. Agnes Limunga Jackai allows following entities to bill medicare on her behalf.

Entity Name	Midwest Center For Personal & Family Development, P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285730903 PECOS PAC ID: 3173436185 Enrollment ID: O20031106000433

Entity Name	Eir Med Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912579244 PECOS PAC ID: 6002218757 Enrollment ID: O20210716002477

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. Agnes Limunga Jackai 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
Agnes Limunga Jackai, APRN, CNP, PMHNP-BC 12125 Vermillion St Ne Unit E, Blaine, MN 55449-5678 Ph: (612) 598-3937	Agnes Limunga Jackai, APRN, CNP, PMHNP-BC 12125 Vermillion St Ne Unit E, Blaine, MN 55449-5678 Ph: (612) 598-3937

Reviews and Comments

Nurse Practitioner Nurses in Blaine, MN

Olivia Mabberi, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4365 Pheasant Ridge Dr Ne Ste 106, Blaine, MN 55449 Phone: 888-938-3838 Fax: 888-919-1083
Abigail Irene Christensen, MSN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10729 Town Square Dr Ne Ste A, Blaine, MN 55449 Phone: 763-343-9010
Angela Laughlin, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 109th Ave Ne, Minute Clinic, Blaine, MN 55449 Phone: 866-389-2727
Faisal Kadar Abdi, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12312 3rd St Ne, Blaine, MN 55434 Phone: 763-300-9128
Nardos Bekele Legamo, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2357 108th Ln Ne, Blaine, MN 55449 Phone: 763-780-0776
Mrs. Jennifer Ann Burvee, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4322 118th Ct Ne, Blaine, MN 55449 Phone: 651-214-3293
Benjamin Jerome Williams, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11107 Ulysses St Ne Ste 100, Blaine, MN 55434 Phone: 763-333-7733

Agnes Limunga Jackai, APRN, CNP, PMHNP-BC - Medicare Nurse Practitioner in Blaine, MN