Dr Mary Elizabeth Jaeger, RN, DNP, PCNS is a medicare enrolled "Clinical Nurse Specialist" in Richfield, Minnesota. She graduated from nursing school in 2013 and has 12 years of diverse experience with area of expertise as Certified Clinical Nurse Specialist (cns). She is a member of the group practice Active Feet, Foot And Ankle Health Center and her current practice location is
6625 Lyndale Ave S Ste 300, Richfield, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(612) 788-8778.
Dr Mary Elizabeth Jaeger is licensed to practice in Minnesota (license number 104) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1891129425.
Provider's Profile
| Full Name | Dr Mary Elizabeth Jaeger |
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| Gender | Female |
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| Speciality | Certified Clinical Nurse Specialist (cns) |
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| Experience | 12 Years |
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| Location | 6625 Lyndale Ave S Ste 300, Richfield, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Mary Elizabeth Jaeger graduated from nursing school in 2013
NPI Data:
- NPI Number: 1891129425
- Provider Enumeration Date: 08/30/2013
- Last Update Date: 09/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 4385867142
- Enrollment ID: I20140523000225
Medical Identifiers
Medical identifiers for Dr Mary Elizabeth Jaeger such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1891129425 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 364SP0200X | Clinical Nurse Specialist - Pediatrics | 2013012486 (Minnesota) | Secondary |
| 364S00000X | Clinical Nurse Specialist | 104 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Active Feet, Foot And Ankle Health Center | 1254401300 | 15 |
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. Dr Mary Elizabeth Jaeger allows following entities to bill medicare on her behalf.
| Entity Name | Active Feet, Foot & Ankle Health Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689848392
PECOS PAC ID: 1254401300
Enrollment ID: O20080602000720 |
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| Entity Name | In House Senior Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083962294
PECOS PAC ID: 7113170267
Enrollment ID: O20130123000456 |
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| Entity Name | Integrated Wound Care Minnesota Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205390457
PECOS PAC ID: 2769722511
Enrollment ID: O20190314001268 |
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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. Dr Mary Elizabeth Jaeger 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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Dr Mary Elizabeth Jaeger, RN, DNP, PCNS
345 Smith Ave N, Mailstop 70-504,
Saint Paul, MN 55102-2346
Ph: (651) 220-6444 | Dr Mary Elizabeth Jaeger, RN, DNP, PCNS
6625 Lyndale Ave S Ste 300,
Richfield, MN 55423-2491
Ph: (612) 788-8778 |
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