Kathy Kise, CNM is a medicare enrolled "Advanced Practice Midwife" in Canton, Michigan. She graduated from nursing school in 1993 and has 32 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice Iha Health Services Corporation and her current practice location is
49650 Cherry Hill Rd Ste 220, Canton, Michigan. You can reach out to her office (for appointments etc.) via phone at
(734) 398-7888.
Kathy Kise is licensed to practice in Michigan (license number 4704168768) 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 1568515377.
Provider's Profile
| Full Name | Kathy Kise |
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| Gender | Female |
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| Speciality | Certified Nurse Midwife (cnm) |
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| Experience | 32 Years |
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| Location | 49650 Cherry Hill Rd Ste 220, Canton, Michigan |
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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. |
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Medical Education and Training:
- Kathy Kise graduated from nursing school in 1993
NPI Data:
- NPI Number: 1568515377
- Provider Enumeration Date: 01/18/2007
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 3072412998
- Enrollment ID: I20160407000703
Medical Identifiers
Medical identifiers for Kathy Kise such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1568515377 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 4704168768 (Michigan) | Secondary |
| 367A00000X | Advanced Practice Midwife | 4704168768 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Iha Health Services Corporation | 2466351440 | 945 |
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. Kathy Kise allows following entities to bill medicare on her behalf.
| Entity Name | Iha Health Services Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457408965
PECOS PAC ID: 2466351440
Enrollment ID: O20040108000355 |
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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. Kathy Kise 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 |
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Kathy Kise, CNM
Po Box 446,
Ann Arbor, MI 48106-0446
Ph: (734) 747-6766 | Kathy Kise, CNM
49650 Cherry Hill Rd Ste 220,
Canton, MI 48187-4860
Ph: (734) 398-7888 |
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