Maria Luisa Jabido, is a medicare enrolled "Nurse Practitioner" in Minnetoka, Minnesota. Her current practice location is
9900 Bren Road East, Minnetoka, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(206) 561-5235.
Maria Luisa Jabido is licensed to practice in Washington (license number AP60853275) 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 1699208736.
Provider's Profile
| Full Name | Maria Luisa Jabido |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 9900 Bren Road East, Minnetoka, 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: 1699208736
- Provider Enumeration Date: 04/05/2017
- Last Update Date: 02/04/2022
Medicare PECOS Information:
- PECOS PAC ID: 7810273307
- Enrollment ID: I20170418001218
Medical Identifiers
Medical identifiers for Maria Luisa Jabido such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1699208736 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 209.015836 (Illinois) | Secondary |
| 363L00000X | Nurse Practitioner | AP60853275 (Washington) | 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. Maria Luisa Jabido allows following entities to bill medicare on her behalf.
| Entity Name | Vivek Gupta, M.d., S.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033300694
PECOS PAC ID: 3678668308
Enrollment ID: O20070926000910 |
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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. Maria Luisa Jabido 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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Maria Luisa Jabido,
9900 Bren Rd E,
Minnetonka, MN 55343-9664
Ph: () - | Maria Luisa Jabido,
9900 Bren Road East,
Minnetoka, MN 55343
Ph: (206) 561-5235 |
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