Jackie Lyn Micklewright, PHD in Saint Paul, MN - Medicare Clinical Psychologist Provider

Jackie Lyn Micklewright, PHD is a medicare enrolled "Psychologist - Clinical" provider in Saint Paul, Minnesota. She graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Healthwise Psychology Pa, Allina Health System and her current practice location is 280 Smith Ave N Ste 220, Saint Paul, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 241-8295.

Jackie Lyn Micklewright is licensed to practice in Minnesota (license number LP5324) 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 1669705638.

Contact Information

	Jackie Lyn Micklewright, PHD
	280 Smith Ave N Ste 220, Saint Paul, MN 55102-2459
	(651) 241-8295
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jackie Lyn Micklewright
Gender	Female
Speciality	Clinical Psychologist
Experience	15 Years
Location	280 Smith Ave N Ste 220, Saint Paul, Minnesota
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:

Jackie Lyn Micklewright graduated from medical school in 2009

NPI Data:

NPI Number: 1669705638
Provider Enumeration Date: 09/09/2009
Last Update Date: 10/15/2019

Medicare PECOS Information:

PECOS PAC ID: 0345411674
Enrollment ID: I20110919000350

Medical Identifiers

Medical identifiers for Jackie Lyn Micklewright such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669705638	NPI	-	NPPES
680003191	Other	MN	MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	LP5324 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Allina United Hospital	Saint paul, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Healthwise Psychology Pa	2567685647	18
Allina Health System	4587573613	3101

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. Jackie Lyn Micklewright allows following entities to bill medicare on her behalf.

Entity Name	Healtheast Medical Research Institute
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507

Entity Name	Allina Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460

Entity Name	Healthwise Psychology Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184920753 PECOS PAC ID: 2567685647 Enrollment ID: O20140516001784

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. Jackie Lyn Micklewright 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
Jackie Lyn Micklewright, PHD 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-5000	Jackie Lyn Micklewright, PHD 280 Smith Ave N Ste 220, Saint Paul, MN 55102-2459 Ph: (651) 241-8295

Reviews and Comments

Psychologist in Saint Paul, MN

Dr. Daniel Anthony Christensen, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 190 5th St E, Suite 100, Saint Paul, MN 55101 Phone: 651-291-1979
Mr. Paul Sterlacci, LIC. PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2375 University Ave W, Suite 160, Saint Paul, MN 55114 Phone: 651-642-1709
Dr. Tamarind Knutson, PSY.D., L.P. Psychologist Medicare: Medicare Enrolled Practice Location: 1360 Energy Park Dr Ste 340, Saint Paul, MN 55108 Phone: 651-646-8985
Abdinoor Abdullahi Hassan, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 967 5th St E, Saint Paul, MN 55106 Phone: 315-450-7121
Mohamed Omar Galal, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 967 5th Street East, Saint Paul, MN 55106 Phone: 315-450-7121 Fax: 651-389-0540
Ms. Sharon Grace Lamb, LP LMFT Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1137 Portland Ave, Saint Paul, MN 55104 Phone: 651-290-9088 Fax: 651-290-9311
Jeffry Alan Cottle, MA, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4164 Hemlock Ln, Saint Paul, MN 55127 Phone: 651-308-7176

Jackie Lyn Micklewright, PHD - Medicare Psychologist in Saint Paul, MN