Kristin Jackson, DPM is a medicare enrolled "Podiatrist" provider in Little Falls, Minnesota. She went to College Of Podiatric Med And Surgery, Des Moines University and graduated in 1995 and has 29 years of diverse experience with area of expertise as Podiatry. She is a member of the group practice Unity Family Healthcare and her current practice location is
1108 1st St Se, Little Falls, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(320) 632-3671.
Kristin Jackson is licensed to practice in Minnesota (license number 612) 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 1720037724.
Healthcare Provider's Profile
Full Name | Kristin Jackson |
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Gender | Female |
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Speciality | Podiatry |
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Experience | 29 Years |
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Location | 1108 1st St Se, Little Falls, 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. |
Medical Education and Training:
- Kristin Jackson attended and graduated from College Of Podiatric Med And Surgery, Des Moines University in 1995
NPI Data:
- NPI Number: 1720037724
- Provider Enumeration Date: 05/08/2006
- Last Update Date: 02/05/2008
Medicare PECOS Information:
- PECOS PAC ID: 7911095195
- Enrollment ID: I20071126000080
Medical Identifiers
Medical identifiers for Kristin Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720037724 | NPI | - | NPPES |
967750000MN | Medicaid | MN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213E00000X | Podiatrist | 612 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Unity Family Healthcare | 9830003516 | 39 |
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. Kristin Jackson allows following entities to bill medicare on her behalf.
Provider Name | Unity Family Healthcare |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1326234006 PECOS PAC ID: 9830003516 Enrollment ID: O20031117000732 |
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Provider Name | Unity Family Healthcare |
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Provider Type | Part A Provider - Critical Access Hospital |
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Provider Identifiers | NPI Number: 1780630939 PECOS PAC ID: 9830003516 Enrollment ID: O20061104000248 |
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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. Kristin Jackson 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 |
Kristin Jackson, DPM 1108 1st St Se, Little Falls, MN 56345-3440 Ph: (320) 632-3671 | Kristin Jackson, DPM 1108 1st St Se, Little Falls, MN 56345-3440 Ph: (320) 632-3671 |
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