Mark Kassebaum, MD is a medicare enrolled "Anesthesiology" physician in Monticello, Minnesota. He went to University Of Iowa, Rj & L Carver College Of Medicine and graduated in 1988 and has 36 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Regional Anesthesia Services Pa, Centracare Health System-nr Llc and his current practice location is
1013 Hart Blvd, Monticello, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(612) 670-0610.
Mark Kassebaum is licensed to practice in Minnesota (license number 33240) 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 1205924776.
Physician's Profile
Full Name | Mark Kassebaum |
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Gender | Male |
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Speciality | Anesthesiology |
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Experience | 36 Years |
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Location | 1013 Hart Blvd, Monticello, Minnesota |
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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. |
Medical Education and Training:
- Mark Kassebaum attended and graduated from University Of Iowa, Rj & L Carver College Of Medicine in 1988
NPI Data:
- NPI Number: 1205924776
- Provider Enumeration Date: 10/10/2006
- Last Update Date: 03/27/2019
Medicare PECOS Information:
- PECOS PAC ID: 1052596012
- Enrollment ID: I20110506000513
Medical Identifiers
Medical identifiers for Mark Kassebaum such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205924776 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 33240 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Regional Anesthesia Services Pa | 0648250548 | 10 |
Centracare Health System-nr Llc | 3870739410 | 47 |
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. Mark Kassebaum allows following entities to bill medicare on his behalf.
Entity Name | Regional Anesthesia Services Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073621850 PECOS PAC ID: 0648250548 Enrollment ID: O20040721001562 |
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Entity Name | Centracare Health System-nr Llc |
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Entity Type | Part A Provider - Critical Access Hospital |
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Entity Identifiers | NPI Number: 1275872772 PECOS PAC ID: 3870739410 Enrollment ID: O20130426000215 |
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Entity Name | Centracare Health System-nr Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1558600874 PECOS PAC ID: 3870739410 Enrollment ID: O20130515000683 |
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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. Mark Kassebaum 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 |
Mark Kassebaum, MD 1013 Hart Blvd, Monticello, MN 55362-8575 Ph: (612) 670-0610 | Mark Kassebaum, MD 1013 Hart Blvd, Monticello, MN 55362-8575 Ph: (612) 670-0610 |
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