Kristen Renae Fasbender, in Lakeville, MN - Medicare Nurse Practitioner

Kristen Renae Fasbender, is a medicare enrolled "Nurse Practitioner" in Lakeville, Minnesota. Her current practice location is 7560 160th St W Ste 100, Lakeville, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 677-1134.

Kristen Renae Fasbender is licensed to practice in Minnesota (license number 10138) 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 1790559722.

Contact Information

	Kristen Renae Fasbender,
	7560 160th St W Ste 100, Lakeville, MN 55044-8348
	(651) 677-1134
	Not Available

Map and Direction

Provider's Profile

Full Name	Kristen Renae Fasbender
Gender	Female
Speciality	Nurse Practitioner
Location	7560 160th St W Ste 100, Lakeville, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790559722
Provider Enumeration Date: 11/09/2023
Last Update Date: 11/09/2023

Medicare PECOS Information:

PECOS PAC ID: 8527403278
Enrollment ID: I20240304002603

Medical Identifiers

Medical identifiers for Kristen Renae Fasbender such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790559722	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	10138 (Minnesota)	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. Kristen Renae Fasbender allows following entities to bill medicare on her behalf.

Entity Name	Presence Telehealth Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780162552 PECOS PAC ID: 9931452430 Enrollment ID: O20181031000745

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. Kristen Renae Fasbender 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
Kristen Renae Fasbender, 1232 S Oak Ave, Owatonna, MN 55060-2590 Ph: (651) 677-1134	Kristen Renae Fasbender, 7560 160th St W Ste 100, Lakeville, MN 55044-8348 Ph: (651) 677-1134

Reviews and Comments

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Kristen Renae Fasbender, - Medicare Nurse Practitioner in Lakeville, MN