Jacqueline Jeziorski, CFY - SLP - Medicare Speech-Language Pathologist in Andover, MN

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Jacqueline Jeziorski, CFY - SLP is a medicare enrolled "Speech-language Pathologist" provider in Andover, Minnesota. Her current practice location is 1891 Station Pkwy Nw, Andover, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 755-4275.

Jacqueline Jeziorski is licensed to practice in Minnesota (license number 528399) 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 1386362747.

Contact Information

Jacqueline Jeziorski, CFY - SLP
1891 Station Pkwy Nw,
Andover, MN 55304-3341
(763) 755-4275
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJacqueline Jeziorski
GenderFemale
SpecialitySpeech-language Pathologist
Location1891 Station Pkwy Nw, Andover, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1386362747
  • Provider Enumeration Date: 08/19/2022
  • Last Update Date: 08/19/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8628434594
  • Enrollment ID: I20230518001891

Medical Identifiers

Medical identifiers for Jacqueline Jeziorski such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386362747NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 528399 (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. Jacqueline Jeziorski allows following entities to bill medicare on her behalf.
Provider NameFamily Speech & Therapy Services Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1235285966
PECOS PAC ID: 8022335397
Enrollment ID: O20150325001650

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. Jacqueline Jeziorski 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
Jacqueline Jeziorski, CFY - SLP
1891 Station Pkwy Nw,
Andover, MN 55304-3341

Ph: (763) 755-4275		Jacqueline Jeziorski, CFY - SLP
1891 Station Pkwy Nw,
Andover, MN 55304-3341

Ph: (763) 755-4275

Reviews and Comments


Speech-Language Pathologist in Andover, MN

Megan Dierking,
Speech-Language Pathologist
Medicare: Medicare Enrolled
Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304
Phone: 763-755-4275    
Mrs. Melissa Sue Lonsky, CCC-SLP, OM
Speech-Language Pathologist
Medicare: Medicare Enrolled
Practice Location: 13750 Crosstown Dr Nw, Andover, MN 55304
Phone: 763-755-4275    Fax: 763-755-4261
Courtney Wagner,
Speech-Language Pathologist
Medicare: Medicare Enrolled
Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304
Phone: 763-755-4275    
Kristina Dose, MA, SLLP-CF/DE
Speech-Language Pathologist
Medicare: Medicare Enrolled
Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304
Phone: 763-755-4275    Fax: 763-755-4261
Ms. Kelsey Anne Wegner, M.A., CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304
Phone: 763-755-4275    
Nicole Morrissey,
Speech-Language Pathologist
Medicare: Medicare Enrolled
Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304
Phone: 763-350-0371    
Kayla Braun,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304
Phone: 763-755-4275    

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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