Jennifer Maytum, CPNP in Saint Paul, MN - Medicare Nurse Practitioner

Jennifer Maytum, CPNP is a medicare enrolled "Nurse Practitioner" in Saint Paul, Minnesota. Her current practice location is 200 University Ave E, Saint Paul, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 325-2121.

Jennifer Maytum is licensed to practice in Minnesota (license number R1036837) 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 1629150248.

Contact Information

	Jennifer Maytum, CPNP
	200 University Ave E, Saint Paul, MN 55101-2507
	(651) 325-2121
	(651) 325-2122

Map and Direction

Provider's Profile

Full Name	Jennifer Maytum
Gender	Female
Speciality	Nurse Practitioner
Location	200 University Ave E, Saint Paul, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629150248
Provider Enumeration Date: 10/20/2006
Last Update Date: 01/04/2008

Medicare PECOS Information:

PECOS PAC ID: 0840205548
Enrollment ID: I20060216000490

Medical Identifiers

Medical identifiers for Jennifer Maytum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629150248	NPI	-	NPPES
858326900	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	R1036837 (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. Jennifer Maytum allows following entities to bill medicare on her behalf.

Entity Name	Gillette Childrens Specialty Healthcare
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225119175 PECOS PAC ID: 0547169211 Enrollment ID: O20040503000485

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. Jennifer Maytum 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
Jennifer Maytum, CPNP 200 University Ave E, Saint Paul, MN 55101-2507 Ph: (651) 325-2121	Jennifer Maytum, CPNP 200 University Ave E, Saint Paul, MN 55101-2507 Ph: (651) 325-2121

Reviews and Comments

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Doreatha J Baker, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 347 Smith Ave N, Saint Paul, MN 55102 Phone: 651-220-6708 Fax: 651-220-6589
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Jennifer Maytum, CPNP - Medicare Nurse Practitioner in Saint Paul, MN