Jesse Lee Berndt, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Cudahy, Wisconsin. His current practice location is
3819 E Lunham Ave, Cudahy, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(414) 573-4716.
Jesse Lee Berndt is licensed to practice in Wisconsin (license number 178125) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1376214809.
Provider's Profile
Full Name | Jesse Lee Berndt |
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Gender | Male |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 3819 E Lunham Ave, Cudahy, 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: 1376214809
- Provider Enumeration Date: 09/23/2021
- Last Update Date: 11/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 3072976224
- Enrollment ID: I20230906000365
Medical Identifiers
Medical identifiers for Jesse Lee Berndt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376214809 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 178125 (Wisconsin) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 178125 (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. Jesse Lee Berndt allows following entities to bill medicare on his behalf.
Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1194473066 PECOS PAC ID: 8628980943 Enrollment ID: O20220620000485 |
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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. Jesse Lee Berndt 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 |
Jesse Lee Berndt, 3819 E Lunham Ave, Cudahy, WI 53110-1242 Ph: (414) 573-4716 | Jesse Lee Berndt, 3819 E Lunham Ave, Cudahy, WI 53110-1242 Ph: (414) 573-4716 |
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