Jessica Retterath, CRNA, APRN is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Long Lake, Minnesota. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Southdale Anesthesiologists Llc, University Of Minnesota Health Clinics And Surgery Center Inc and her current practice location is
35 Apple Glen Rd, Long Lake, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(320) 237-8616.
Jessica Retterath is licensed to practice in Minnesota (license number CRNA1958) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1033663414.
Provider's Profile
Full Name | Jessica Retterath |
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Gender | Female |
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Speciality | Certified Registered Nurse Anesthetist (crna) |
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Experience | 8 Years |
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Location | 35 Apple Glen Rd, Long Lake, Minnesota |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jessica Retterath graduated from nursing school in 2016
NPI Data:
- NPI Number: 1033663414
- Provider Enumeration Date: 08/15/2016
- Last Update Date: 01/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 8224326186
- Enrollment ID: I20161007001193
Medical Identifiers
Medical identifiers for Jessica Retterath such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033663414 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 1953033 (Minnesota) | Secondary |
163WC0200X | Registered Nurse - Critical Care Medicine | R195303-3 (Minnesota) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | CRNA1958 (Minnesota) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Southdale Anesthesiologists Llc | 6709842461 | 65 |
University Of Minnesota Health Clinics And Surgery Center Inc | 9133423304 | 483 |
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. Jessica Retterath allows following entities to bill medicare on her behalf.
Entity Name | Centracare Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
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Entity Name | Metropolitan Anesthesia Network Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1558314427 PECOS PAC ID: 5698689123 Enrollment ID: O20031118000579 |
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Entity Name | Anesthesiology, P.a. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013960798 PECOS PAC ID: 9335033034 Enrollment ID: O20040212000459 |
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Entity Name | Children's Health Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1932208808 PECOS PAC ID: 2668370966 Enrollment ID: O20040406000939 |
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Entity Name | Southdale Anesthesiologists Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1154381804 PECOS PAC ID: 6709842461 Enrollment ID: O20041203000743 |
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Entity Name | University Of Minnesota Health Clinics And Surgery Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1053795187 PECOS PAC ID: 9133423304 Enrollment ID: O20160209000524 |
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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. Jessica Retterath 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 |
Jessica Retterath, CRNA, APRN 35 Apple Glen Rd, Long Lake, MN 55356-9429 Ph: (320) 237-8616 | Jessica Retterath, CRNA, APRN 35 Apple Glen Rd, Long Lake, MN 55356-9429 Ph: (320) 237-8616 |
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