Kristin K Lietzau, PA is a medicare enrolled "Physician Assistant" physician in Beloit, Wisconsin. She graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Beloit Health System Inc and her current practice location is
Beloit Clinic, 1905 E. Huebbe Parkway, Beloit, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 364-2230.
Kristin K Lietzau is licensed to practice in Wisconsin (license number 4671-23) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1154883593.
Physician's Profile
| Full Name | Kristin K Lietzau |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 6 Years |
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| Location | Beloit Clinic, Beloit, Wisconsin |
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| Accepts Medicare Assignments | Yes. She 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:
- Kristin K Lietzau graduated from medical school in 2018
NPI Data:
- NPI Number: 1154883593
- Provider Enumeration Date: 04/04/2019
- Last Update Date: 05/28/2019
Medicare PECOS Information:
- PECOS PAC ID: 6103169545
- Enrollment ID: I20190528001312
Medical Identifiers
Medical identifiers for Kristin K Lietzau such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1154883593 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207XX0005X | Orthopaedic Surgery - Sports Medicine | 085.007026 (Illinois) | Secondary |
| 363A00000X | Physician Assistant | 085-007026 (Illinois) | Secondary |
| 363A00000X | Physician Assistant | 4671-23 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Beloit Health System Inc | 8224947858 | 111 |
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. Kristin K Lietzau 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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Kristin K Lietzau, PA
Beloit Clinic, 1905 E. Huebbe Parkway,
Beloit, WI 53511-1842
Ph: (608) 364-2293 | Kristin K Lietzau, PA
Beloit Clinic, 1905 E. Huebbe Parkway,
Beloit, WI 53511-1842
Ph: (608) 364-2230 |
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