Jennifer Susan Kickendahl, MD in Milwaukee, WI

Jennifer Susan Kickendahl, MD is a medicare enrolled "Anesthesiology" physician in Milwaukee, Wisconsin. Her current practice location is 2801 W. Kinnickinnic River Parkway, Suite 1030, Milwaukee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 908-6507.

Jennifer Susan Kickendahl is licensed to practice in Wisconsin (license number 56617-20) 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 1205151685.

Contact Information

	Jennifer Susan Kickendahl, MD
	2801 W. Kinnickinnic River Parkway, Suite 1030, Milwaukee, WI 53215
	(414) 908-6507
	(414) 955-6528

Map and Direction

Physician's Profile

Full Name	Jennifer Susan Kickendahl
Gender	Female
Speciality	Anesthesiology
Location	2801 W. Kinnickinnic River Parkway, Milwaukee, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205151685
Provider Enumeration Date: 03/29/2010
Last Update Date: 10/01/2014

Medicare PECOS Information:

PECOS PAC ID: 6709006166
Enrollment ID: I20141007000563

Medical Identifiers

Medical identifiers for Jennifer Susan Kickendahl such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205151685	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	56617-20 (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. Jennifer Susan Kickendahl allows following entities to bill medicare on her behalf.

Entity Name	Anesthesia Partners Services Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861810947 PECOS PAC ID: 4082832514 Enrollment ID: O20140826000757

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. Jennifer Susan Kickendahl 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
Jennifer Susan Kickendahl, MD 2801 W. Kinnickinnic River Parkway, Suite 1030, Milwaukee, WI 53215 Ph: (414) 908-6507	Jennifer Susan Kickendahl, MD 2801 W. Kinnickinnic River Parkway, Suite 1030, Milwaukee, WI 53215 Ph: (414) 908-6507

Reviews and Comments

Anesthesiology Doctors in Milwaukee, WI

Dr. Jeffrey T Lyvers, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2900 W Oklahoma Ave, Milwaukee, WI 53215 Phone: 414-649-6000
Dr. Nosheen Hasan, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 7235 W Appleton Ave, Sutie 102, Milwaukee, WI 53216 Phone: 414-444-8670 Fax: 414-444-8678
Dr. Quinn Hogan, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 9200 W Wisconsin Ave, Department Of Anesthesiology, Milwaukee, WI 53226 Phone: 414-805-8700 Fax: 414-259-1522
Dr. Stephen R Thompson, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2025 E Newport Ave, Milwaukee, WI 53211 Phone: 414-961-3300
Dr. Christina D Diaz, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 9200 W Wisconsin Ave, Department Of Anesthesiology, Milwaukee, WI 53226 Phone: 414-805-8700 Fax: 414-259-1522
Dr. John V Selthafner, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-8700 Fax: 414-259-1522
Anne M Fagan, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 10200 W Innovation Dr, Milwaukee, WI 53226 Phone: 414-302-9196

Jennifer Susan Kickendahl, MD - Medicare Anesthesiology in Milwaukee, WI