Kurt J Klise, MD in Grimes, IA - Medicare Family Practice

Kurt J Klise, MD is a medicare enrolled "Family Medicine" physician in Grimes, Iowa. He went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 1982 and has 42 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Mercy Medical Center-centerville and his current practice location is 250 Sw Brookside Dr, Grimes, Iowa. You can reach out to his office (for appointments etc.) via phone at (515) 300-3900.

Kurt J Klise is licensed to practice in Iowa (license number 24439) 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 1871589754.

Contact Information

	Kurt J Klise, MD
	250 Sw Brookside Dr, Grimes, IA 50111-4900
	(515) 300-3900
	(515) 300-3901

Map and Direction

Physician's Profile

Full Name	Kurt J Klise
Gender	Male
Speciality	Family Practice
Experience	42 Years
Location	250 Sw Brookside Dr, Grimes, Iowa
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kurt J Klise attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 1982

NPI Data:

NPI Number: 1871589754
Provider Enumeration Date: 09/26/2005
Last Update Date: 03/17/2018

Medicare PECOS Information:

PECOS PAC ID: 8426104498
Enrollment ID: I20090916000028

Medical Identifiers

Medical identifiers for Kurt J Klise such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871589754	NPI	-	NPPES
080195357	Other	IA	RR MEDICARE
3219469	Medicaid	IA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	24439 (Iowa)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Caregivers Home Health	Centerville, IA	Home health agency
Mercyone Centerville Medical Center	Centerville, IA	Hospital
Davis County Hospital	Bloomfield, IA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mercy Medical Center-centerville	9739077652	27

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. Kurt J Klise allows following entities to bill medicare on his behalf.

Entity Name	Mercy Medical Center-centerville
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528018801 PECOS PAC ID: 9739077652 Enrollment ID: O20040310000762

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. Kurt J Klise 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
Kurt J Klise, MD Po Box 1475, Des Moines, IA 50305-1475 Ph: (515) 300-3900	Kurt J Klise, MD 250 Sw Brookside Dr, Grimes, IA 50111-4900 Ph: (515) 300-3900

Reviews and Comments

Family Medicine Doctors in Grimes, IA

Dennis L Bussey, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Se Destination Drive, Grimes, IA 50111 Phone: 515-986-4524 Fax: 515-986-4531
Dr. Brad Michael Willenbring, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 825 Ne Gateway Dr Ste 148, Grimes, IA 50111 Phone: 515-875-9607 Fax: 515-875-9608
Hyo Young Seo Smith, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Se Destination Dr, Grimes, IA 50111 Phone: 515-986-4524
Jennifer Linn Gerrietts, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 Sw Brookside Dr, Grimes, IA 50111 Phone: 515-300-3900 Fax: 515-300-3901
Tiffany Ketcham, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 825 Ne Gateway Dr Ste 148, Grimes, IA 50111 Phone: 515-875-9607 Fax: 515-875-9608
Erin E Swenka, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 Sw Brookside Dr, Grimes, IA 50111 Phone: 515-300-3900 Fax: 515-300-3901

Kurt J Klise, MD - Medicare Family Practice in Grimes, IA