Michelle R Klosterman, RD, RN, PNP is a medicare enrolled "Nurse Practitioner - Pediatrics" provider in San Francisco, California. Her current practice location is
1825 4th St Fl 6, Pediatric Gastroenterology, Hepatology, And Nutrition, San Francisco, California. You can reach out to her office (for appointments etc.) via phone at
(414) 353-2813.
Michelle R Klosterman is licensed to practice in California (license number 95002982) 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 1104979897.
Healthcare Provider's Profile
| Full Name | Michelle R Klosterman |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Pediatrics |
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| Location | 1825 4th St Fl 6, San Francisco, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1104979897
- Provider Enumeration Date: 01/18/2007
- Last Update Date: 09/24/2015
Medicare PECOS Information:
- PECOS PAC ID: 9234233867
- Enrollment ID: I20160128002452
Medical Identifiers
Medical identifiers for Michelle R Klosterman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1104979897 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | 95002982 (California) | 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. Michelle R Klosterman allows following entities to bill medicare on her behalf.
| Provider Name | Ucsf Pediatrics Associates |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1376614016
PECOS PAC ID: 6204749112
Enrollment ID: O20031106000823 |
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| Provider Name | University Of California San Francisco |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1861578973
PECOS PAC ID: 4486567229
Enrollment ID: O20031212000897 |
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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. Michelle R Klosterman 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 |
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Michelle R Klosterman, RD, RN, PNP
550 16th St Fl 5, Pediatric Gastroenterology, Hepatology, And Nutrition,
San Francisco, CA 94158-2549
Ph: (415) 476-5892 | Michelle R Klosterman, RD, RN, PNP
1825 4th St Fl 6, Pediatric Gastroenterology, Hepatology, And Nutrition,
San Francisco, CA 94158-2350
Ph: (414) 353-2813 |
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