Susan K Kinast-porter, MD is a medicare enrolled "Hospitalist" physician in Lake Geneva, Wisconsin. Her current practice location is
N2950 State Road 67, Lake Geneva, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(262) 245-0535.
Susan K Kinast-porter is licensed to practice in Wisconsin (license number 23108-020) 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 1942229331.
Physician's Profile
Full Name | Susan K Kinast-porter |
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Gender | Female |
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Speciality | Hospitalist |
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Location | N2950 State Road 67, Lake Geneva, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1942229331
- Provider Enumeration Date: 07/18/2006
- Last Update Date: 10/03/2013
Medicare PECOS Information:
- PECOS PAC ID: 3678554839
- Enrollment ID: I20040525001209
Medical Identifiers
Medical identifiers for Susan K Kinast-porter such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942229331 | NPI | - | NPPES |
61018 | Other | WI | DEAN HEALTH INSURANCE |
KINASSUS | Other | WI | MERCYCARE INSURANCE |
30467900 | Medicaid | WI | |
1942229331 | Other | WI | BCBSWI |
1942229331 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208M00000X | Hospitalist | 23108-020 (Wisconsin) | Primary |
207Q00000X | Family Medicine | 23108-20 (Wisconsin) | Secondary |
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. Susan K Kinast-porter allows following entities to bill medicare on her behalf.
Entity Name | Mercy Health System Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
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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. Susan K Kinast-porter 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 |
Susan K Kinast-porter, MD N2950 State Road 67, Lake Geneva, WI 53147-2655 Ph: (262) 245-0535 | Susan K Kinast-porter, MD N2950 State Road 67, Lake Geneva, WI 53147-2655 Ph: (262) 245-0535 |
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