Jon Odonnell, DNP in Minneapolis, MN - Medicare Nurse Practitioner

Jon Odonnell, DNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Minneapolis, Minnesota. His current practice location is 2120 Park Ave, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 774-0011.

Jon Odonnell is licensed to practice in Minnesota (license number 5349) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1710414610.

Contact Information

	Jon Odonnell, DNP
	2120 Park Ave, Minneapolis, MN 55404-3378
	(651) 774-0011
	(651) 774-0606

Map and Direction

Provider's Profile

Full Name	Jon Odonnell
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	2120 Park Ave, Minneapolis, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710414610
Provider Enumeration Date: 05/22/2017
Last Update Date: 08/24/2023

Medicare PECOS Information:

PECOS PAC ID: 5799059564
Enrollment ID: I20170918000492

Medical Identifiers

Medical identifiers for Jon Odonnell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710414610	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	5349 (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. Jon Odonnell allows following entities to bill medicare on his behalf.

Entity Name	University Of Minnesota Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477598118 PECOS PAC ID: 9830001189 Enrollment ID: O20031104000532

Entity Name	Fairview Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461

Entity Name	Fairview Express Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548

Entity Name	People Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215104831 PECOS PAC ID: 7012043540 Enrollment ID: O20100409000071

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. Jon Odonnell 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
Jon Odonnell, DNP 3000 Ames Crossing Rd Ste 600, Eagan, MN 55121-2519 Ph: (651) 774-0011	Jon Odonnell, DNP 2120 Park Ave, Minneapolis, MN 55404-3378 Ph: (651) 774-0011

Reviews and Comments

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Jon Odonnell, DNP - Medicare Nurse Practitioner in Minneapolis, MN