Dr Jackie Engebretson, PHD, LP - Medicare Psychologist in Bloomington, MN

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Dr Jackie Engebretson, PHD, LP is a medicare enrolled "Psychologist" provider in Bloomington, Minnesota. Her current practice location is 7920 Old Cedar Ave S, Bloomington, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 428-1800.

Dr Jackie Engebretson is licensed to practice in Minnesota (license number LP5917) 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 1134598667.

Contact Information

Dr Jackie Engebretson, PHD, LP
7920 Old Cedar Ave S,
Bloomington, MN 55425-1207
(952) 428-1800
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Jackie Engebretson
GenderFemale
SpecialityPsychologist
Location7920 Old Cedar Ave S, Bloomington, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134598667
  • Provider Enumeration Date: 09/15/2015
  • Last Update Date: 08/12/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8224346994
  • Enrollment ID: I20150929002313

Medical Identifiers

Medical identifiers for Dr Jackie Engebretson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134598667NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC2200XPsychologist - Clinical Child & Adolescent LP5917 (Minnesota)Secondary
103T00000XPsychologist LP5917 (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 Jackie Engebretson allows following entities to bill medicare on her behalf.
Entity NameAllina Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295272342
PECOS PAC ID: 4587573613
Enrollment ID: O20040319000460
Entity NameAllina Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457657249
PECOS PAC ID: 4587573613
Enrollment ID: O20221213001713

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 Jackie Engebretson 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 AddressPractice Location Address
Dr Jackie Engebretson, PHD, LP
2925 Chicago Ave,
Minneapolis, MN 55407-1321

Ph: (612) 262-9000		Dr Jackie Engebretson, PHD, LP
7920 Old Cedar Ave S,
Bloomington, MN 55425-1207

Ph: (952) 428-1800

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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