Kristine S Taivalmaa, MD in Fond Du Lac, WI

Kristine S Taivalmaa, MD is a medicare enrolled "Pediatrics" physician in Fond Du Lac, Wisconsin. Her current practice location is 420 E Division St, Fond Du Lac, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 926-8424.

Kristine S Taivalmaa is licensed to practice in Wisconsin (license number 42205) 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 1043293376.

Contact Information

	Kristine S Taivalmaa, MD
	420 E Division St, Fond Du Lac, WI 54935-4560
	(920) 926-8424
	(920) 926-8389

Map and Direction

Physician's Profile

Full Name	Kristine S Taivalmaa
Gender	Female
Speciality	Pediatrics
Location	420 E Division St, Fond Du Lac, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043293376
Provider Enumeration Date: 11/21/2005
Last Update Date: 12/16/2020

Medicare PECOS Information:

PECOS PAC ID: 6507852449
Enrollment ID: I20040424000048

Medical Identifiers

Medical identifiers for Kristine S Taivalmaa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043293376	NPI	-	NPPES
WI01F1	Other	WI	JOHN DEERE
12560	Other	WI	DEAN
33332600	Medicaid	WI
390807236FA	Other	WI	UNITY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	N5427 (Texas)	Secondary
208000000X	Pediatrics	42205 (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. Kristine S Taivalmaa allows following entities to bill medicare on her behalf.

Entity Name	Agnesian Healthcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346228541 PECOS PAC ID: 1658289624 Enrollment ID: O20031104000263

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. Kristine S Taivalmaa 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
Kristine S Taivalmaa, MD 420 E Division St, Fond Du Lac, WI 54935-4560 Ph: (920) 926-8340	Kristine S Taivalmaa, MD 420 E Division St, Fond Du Lac, WI 54935-4560 Ph: (920) 926-8424

Reviews and Comments

Pediatrics Doctors in Fond Du Lac, WI

Amy K Flores, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-8424
Barbara D Zink, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 210 Wisconsin American Dr, Fond Du Lac, WI 54937 Phone: 920-907-7000 Fax: 920-907-7012
Nicole Denise Schwendel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-8424
Dr. Amy S Emmer-sheldon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 210 Wisconsin American Dr, Fond Du Lac, WI 54935 Phone: 920-907-7000 Fax: 920-907-7012
Andrea Jean Aul, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-929-2300
Dr. Marian E Asfeld Freund, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 210 Wisconsin American Dr, Fond Du Lac, WI 54935 Phone: 920-907-7000 Fax: 920-907-7012

Kristine S Taivalmaa, MD - Medicare Pediatrics in Fond Du Lac, WI