Kathleen M Kett, CNM is a medicare enrolled "Advanced Practice Midwife" in Black River Falls, Wisconsin. Her current practice location is
502 Main St, Black River Falls, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 284-2003.
Kathleen M Kett is licensed to practice in Wisconsin (license number 55872) 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 1689670994.
Provider's Profile
Full Name | Kathleen M Kett |
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Gender | Female |
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Speciality | Advanced Practice Midwife |
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Location | 502 Main St, Black River Falls, 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: 1689670994
- Provider Enumeration Date: 06/22/2005
- Last Update Date: 07/14/2020
Medicare PECOS Information:
- PECOS PAC ID: 1557550613
- Enrollment ID: I20110105001128
Medical Identifiers
Medical identifiers for Kathleen M Kett such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689670994 | NPI | - | NPPES |
43812000 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367A00000X | Advanced Practice Midwife | 55872 (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. Kathleen M Kett allows following entities to bill medicare on her behalf.
Entity Name | Gundersen Clinic Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1851343115 PECOS PAC ID: 9638082779 Enrollment ID: O20031106000139 |
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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. Kathleen M Kett 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 |
Kathleen M Kett, CNM 502 Main St, Black River Falls, WI 54615-1648 Ph: (715) 284-2003 | Kathleen M Kett, CNM 502 Main St, Black River Falls, WI 54615-1648 Ph: (715) 284-2003 |
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