Kasandra Flasch, is a medicare enrolled "Nurse Practitioner" in Lomira, Wisconsin. Her current practice location is
375 East Ave, Lomira, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 269-2060.
Kasandra Flasch is licensed to practice in Wisconsin (license number 6427-033) 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 1093190860.
Provider's Profile
| Full Name | Kasandra Flasch |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 375 East Ave, Lomira, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1093190860
- Provider Enumeration Date: 07/22/2015
- Last Update Date: 04/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 5890003784
- Enrollment ID: I20150925000947
Medical Identifiers
Medical identifiers for Kasandra Flasch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093190860 | NPI | - | NPPES |
| 100048397 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | 6427-033 (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. Kasandra Flasch allows following entities to bill medicare on her behalf.
| Entity Name | Aurora Medical Group, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725 |
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| Entity Name | Froedtert &the Medical College Of Wisconsin Community Physicians Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568787448
PECOS PAC ID: 3678760063
Enrollment ID: O20101210000699 |
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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. Kasandra Flasch 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 |
|---|
Kasandra Flasch,
Po Box 735044,
Chicago, IL 60673-5044
Ph: (800) 326-2250 | Kasandra Flasch,
375 East Ave,
Lomira, WI 53048-9202
Ph: (920) 269-2060 |
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