Dr Brian Kiesnowski, MD is a medicare enrolled "Plastic Surgery" physician in Appleton, Wisconsin. He went to Rush Medical College Of Rush University and graduated in 1992 and has 32 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. His current practice location is
5605 Waterford Ln, Appleton, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(920) 738-7200.
Dr Brian Kiesnowski is licensed to practice in Wisconsin (license number 41995-020) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1285607317.
Physician's Profile
| Full Name | Dr Brian Kiesnowski |
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| Gender | Male |
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| Speciality | Plastic And Reconstructive Surgery |
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| Experience | 32 Years |
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| Location | 5605 Waterford Ln, Appleton, Wisconsin |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Brian Kiesnowski attended and graduated from Rush Medical College Of Rush University in 1992
NPI Data:
- NPI Number: 1285607317
- Provider Enumeration Date: 02/09/2006
- Last Update Date: 11/19/2009
Medicare PECOS Information:
- PECOS PAC ID: 3678554292
- Enrollment ID: I20040528000118
Medical Identifiers
Medical identifiers for Dr Brian Kiesnowski such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285607317 | NPI | - | NPPES |
| 32627900 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208200000X | Plastic Surgery | 41995-020 (Wisconsin) | 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 Brian Kiesnowski allows following entities to bill medicare on his behalf.
| Entity Name | Appleton Plastic Surgery Center, Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235246869
PECOS PAC ID: 3072553205
Enrollment ID: O20050506000697 |
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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. Dr Brian Kiesnowski 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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Dr Brian Kiesnowski, MD
5605 Waterford Ln,
Appleton, WI 54913-8438
Ph: (920) 738-7200 | Dr Brian Kiesnowski, MD
5605 Waterford Ln,
Appleton, WI 54913-8438
Ph: (920) 738-7200 |
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