Kimberly J Wilcox, CRNA in Green Bay, WI - Medicare Certified Registered Nurse Anesthetist (crna)

Kimberly J Wilcox, CRNA is a medicare enrolled "Registered Nurse" in Green Bay, Wisconsin. She graduated from nursing school in 2004 and has 20 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Avera Mckennan and her current practice location is 744 S Webster Ave, Green Bay, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 433-3500.

Kimberly J Wilcox is licensed to practice in Wisconsin (license number 148836) 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 1629277587.

Contact Information

	Kimberly J Wilcox, CRNA
	744 S Webster Ave, Green Bay, WI 54301-3505
	(920) 433-3500
	Not Available

Map and Direction

Provider's Profile

Full Name	Kimberly J Wilcox
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	20 Years
Location	744 S Webster Ave, Green Bay, Wisconsin
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:

Kimberly J Wilcox graduated from nursing school in 2004

NPI Data:

NPI Number: 1629277587
Provider Enumeration Date: 07/12/2007
Last Update Date: 03/30/2022

Medicare PECOS Information:

PECOS PAC ID: 8820040959
Enrollment ID: I20081126000063

Medical Identifiers

Medical identifiers for Kimberly J Wilcox such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629277587	NPI	-	NPPES
44339100	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	072750 (Illinois)	Secondary
163W00000X	Registered Nurse	148836 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Avera Mckennan Hospital & University Health Center	Sioux falls, SD	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Avera Mckennan	0345157103	833

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. Kimberly J Wilcox allows following entities to bill medicare on her behalf.

Entity Name	Avera Mckennan
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003389206 PECOS PAC ID: 0345157103 Enrollment ID: O20031110000117

Entity Name	Sanford Health Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790721280 PECOS PAC ID: 6800707100 Enrollment ID: O20031111000266

Entity Name	Sacred Heart Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861611683 PECOS PAC ID: 6103729066 Enrollment ID: O20040128000978

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. Kimberly J Wilcox 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
Kimberly J Wilcox, CRNA 225 S Executive Dr, Brookfield, WI 53005-4257 Ph: (262) 787-4026	Kimberly J Wilcox, CRNA 744 S Webster Ave, Green Bay, WI 54301-3505 Ph: (920) 433-3500

Reviews and Comments

Registered Nurse Nurses in Green Bay, WI

Candice Crabb, Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 2502 S Ashland Ave, Green Bay, WI 54304 Phone: 920-496-4777
Holli J Marklein, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: Green Bay Ctc, 2857 W. Mason St, Green Bay, WI 54303 Phone: 920-337-6740
Amanda Rose Bantle, APNP Registered Nurse Medicare: Medicare Enrolled Practice Location: 2581 Development Dr, Green Bay, WI 54311 Phone: 920-347-0400
Cynthia L Kryzanek, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1166 Blue Ridge Dr, Green Bay, WI 54304 Phone: 920-494-0223
Ms. Margaret Streed, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 835 Potts Ave, Green Bay, WI 54304 Phone: 920-491-9079 Fax: 920-491-9082
Katie Smet, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 809 James St, Green Bay, WI 54303 Phone: 920-371-1549
John Jerome Klinkhammer, CRNA Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-3388

Kimberly J Wilcox, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Green Bay, WI