Jenna Elizabeth Erickson, CNM IBCLC is a medicare enrolled "Advanced Practice Midwife" in Balaton, Minnesota. Her current practice location is
425 241st St, Balaton, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(507) 430-0636.
Jenna Elizabeth Erickson is licensed to practice in Minnesota (license number 542) 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 1982243903.
Provider's Profile
| Full Name | Jenna Elizabeth Erickson |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 425 241st St, Balaton, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1982243903
- Provider Enumeration Date: 12/23/2019
- Last Update Date: 07/19/2023
Medicare PECOS Information:
- PECOS PAC ID: 5395108294
- Enrollment ID: I20230824003774
Medical Identifiers
Medical identifiers for Jenna Elizabeth Erickson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1982243903 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163WL0100X | Registered Nurse - Lactation Consultant | R-193011-1 (Minnesota) | Secondary |
| 367A00000X | Advanced Practice Midwife | 542 (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. Jenna Elizabeth Erickson allows following entities to bill medicare on her behalf.
| Entity Name | Ccm Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720086028
PECOS PAC ID: 4284539453
Enrollment ID: O20031201000642 |
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| Entity Name | Ccm Health |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1720086028
PECOS PAC ID: 4284539453
Enrollment ID: O20060504000810 |
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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. Jenna Elizabeth Erickson 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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Jenna Elizabeth Erickson, CNM IBCLC
425 241st St,
Balaton, MN 56115-1107
Ph: (507) 430-0636 | Jenna Elizabeth Erickson, CNM IBCLC
425 241st St,
Balaton, MN 56115-1107
Ph: (507) 430-0636 |
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