Dr Christine M Anderson Jacob, PHD, LP in Minneapolis, MN - Medicare Clinical Psychologist Provider

Dr Christine M Anderson Jacob, PHD, LP is a medicare enrolled "Psychologist - Counseling" provider in Minneapolis, Minnesota. She graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is 2124 Dupont Ave S Ste 300, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 879-1010.

Dr Christine M Anderson Jacob is licensed to practice in Minnesota (license number 4727) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1184828204.

Contact Information

	Dr Christine M Anderson Jacob, PHD, LP
	2124 Dupont Ave S Ste 300, Minneapolis, MN 55405-2735
	(612) 879-1010
	(612) 879-0059

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Christine M Anderson Jacob
Gender	Female
Speciality	Clinical Psychologist
Experience	21 Years
Location	2124 Dupont Ave S Ste 300, Minneapolis, Minnesota
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Christine M Anderson Jacob graduated from medical school in 2003

NPI Data:

NPI Number: 1184828204
Provider Enumeration Date: 06/13/2007
Last Update Date: 05/27/2015

Medicare PECOS Information:

PECOS PAC ID: 8224189089
Enrollment ID: I20090708000111

Medical Identifiers

Medical identifiers for Dr Christine M Anderson Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184828204	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC1900X	Psychologist - Counseling	4727 (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. Dr Christine M Anderson Jacob allows following entities to bill medicare on her behalf.

Entity Name	Cmaj Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083088462 PECOS PAC ID: 0345508792 Enrollment ID: O20171213001595

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. Dr Christine M Anderson Jacob 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
Dr Christine M Anderson Jacob, PHD, LP 1492 Arden Pl, Arden Hills, MN 55112-3626 Ph: (651) 487-6303	Dr Christine M Anderson Jacob, PHD, LP 2124 Dupont Ave S Ste 300, Minneapolis, MN 55405-2735 Ph: (612) 879-1010

Reviews and Comments

Psychologist in Minneapolis, MN

Shannon Marie Kehle, PH.D., L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Veterans Dr, Minneapolis, MN 55417 Phone: 612-467-1564
Amanda Mulfinger, Psychologist Medicare: Medicare Enrolled Practice Location: 701 Park Ave S, Hennepin County Medical Center/revenue Management, Minneapolis, MN 55415 Phone: 612-873-3044 Fax: 612-630-8242
Dr. Jennifer Rene Gozy, PSYD, LP Psychologist Medicare: Medicare Enrolled Practice Location: 7601 Wayzata Blvd, Minneapolis, MN 55426 Phone: 612-223-8898 Fax: 612-223-8899
Dr. Kristi E. White, PH.D., LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2700 E Lake St, Minneapolis, MN 55406 Phone: 612-873-6963 Fax: 612-276-0188
Patricia Lynn Layton, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3033 Excelsior Blvd, Suite 565, Minneapolis, MN 55416 Phone: 612-926-8802 Fax: 612-926-8915
Mary Melton, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 909 Fulton St Se, Building 2, Minneapolis, MN 55455 Phone: 612-672-7422
Dr. Virginia Anne Mcdermott, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 825 Nicollet Mall, Suite 1630, Minneapolis, MN 55402 Phone: 612-673-9988

Dr Christine M Anderson Jacob, PHD, LP - Medicare Psychologist in Minneapolis, MN