Dr Kimberly Jacks, AUD - Medicare Audiologist in Inver Grove Heights, MN

Dr Kimberly Jacks, AUD is a medicare enrolled "Audiologist" provider in Inver Grove Heights, Minnesota. Her current practice location is 5565 Blaine Ave Ste 225, Inver Grove Heights, Minnesota. You can reach out to her office (for appointments etc.) via phone at (404) 297-4230.

Dr Kimberly Jacks is licensed to practice in Minnesota (license number 10161) 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 1689195422.

Contact Information

Dr Kimberly Jacks, AUD
5565 Blaine Ave Ste 225,
Inver Grove Heights, MN 55076-1239
(404) 297-4230
Not Available



Healthcare Provider's Profile

Full NameDr Kimberly Jacks
GenderFemale
SpecialityAudiologist
Location5565 Blaine Ave Ste 225, Inver Grove Heights, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1689195422
  • Provider Enumeration Date: 07/02/2017
  • Last Update Date: 01/31/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6406129337
  • Enrollment ID: I20181018000363

Medical Identifiers

Medical identifiers for Dr Kimberly Jacks such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689195422NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
231H00000XAudiologist AUD004099 (Georgia)Secondary
231H00000XAudiologist 10161 (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 Kimberly Jacks allows following entities to bill medicare on her behalf.
Provider NamePark Nicollet Clinic
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1780621904
PECOS PAC ID: 7911819438
Enrollment ID: O20031104000046

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Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1578807491
PECOS PAC ID: 0244478188
Enrollment ID: O20130604000638

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› Verified 7 days ago

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 Kimberly Jacks 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 Kimberly Jacks, AUD
Northside Hospital Managed Care Department, 1000 Johnson Ferry Rd Ne,
Atlatna, GA 30342-3034

Ph: (404) 851-8097
Dr Kimberly Jacks, AUD
5565 Blaine Ave Ste 225,
Inver Grove Heights, MN 55076-1239

Ph: (404) 297-4230

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Audiologist in Inver Grove Heights, MN

Alexandra Elena Edwards, AU.D.
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 5565 Blaine Ave, Suite 225 And Suite 275, Inver Grove Heights, MN 55076
Phone: 651-888-7801    Fax: 651-888-7801
Dr. Kylie Sandor, AU.D.
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 5565 Blaine Ave, Inver Grove Heights, MN 55076
Phone: 651-888-7800    Fax: 651-888-7801
Mrs. Cindy Eileen Nilsen, M.S., CCC-A
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 5565 Blaine Ave, Ste 225, Inver Grove Heights, MN 55076
Phone: 651-888-7800    Fax: 651-452-9282
Madilyn Nicole Guith, AUD
Audiologist
Medicare: Accepting Medicare Assignments
Practice Location: 5565 Blaine Ave Ste 225, Inver Grove Heights, MN 55076
Phone: 651-888-7800    

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