Kyle D Kiesewetter, in Peoria, IL

Kyle D Kiesewetter, is a medicare enrolled "Clinical Nurse Specialist - Gerontology" in Peoria, Illinois. His current practice location is 221 Ne Glen Oak Ave, Peoria, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 672-4859.

Kyle D Kiesewetter is licensed to practice in Illinois (license number 209.020932) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1598399693.

Contact Information

	Kyle D Kiesewetter,
	221 Ne Glen Oak Ave, Peoria, IL 61636-0001
	(309) 672-4859
	Not Available

Map and Direction

Provider's Profile

Full Name	Kyle D Kiesewetter
Gender	Male
Speciality
Experience	Years
Location	221 Ne Glen Oak Ave, Peoria, Illinois
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kyle D Kiesewetter attended and graduated from in

NPI Data:

NPI Number: 1598399693
Provider Enumeration Date: 02/27/2020
Last Update Date: 02/27/2020

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Kyle D Kiesewetter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598399693	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
364SG0600X	Clinical Nurse Specialist - Gerontology	209.020932 (Illinois)	Primary

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. Kyle D Kiesewetter 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
Kyle D Kiesewetter, 1210 N Old Trail Rd, East Peoria, IL 61611-1212 Ph: (309) 264-1234	Kyle D Kiesewetter, 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 Ph: (309) 672-4859

Reviews and Comments

Clinical Nurse Specialist Nurses in Peoria, IL

Cheryl Herrmann, Clinical Nurse Specialist Medicare: May Accept Medicare Assignments Practice Location: 112 Ne Crescent Ave, Peoria, IL 61606 Phone: 309-672-4670
Ms. Colleen Susanne Cushing Ragon, APN, CNS Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 8940 N Wood Sage Rd, Peoria, IL 61615 Phone: 309-243-3000 Fax: 309-243-3274
Mrs. Heather A Boore, APN, CNS-BC Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 420 Ne Glen Oak Ave, Suite 401, Peoria, IL 61603 Phone: 309-624-9844
Mrs. Jessica M Stewart, CNS Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 8940 N Wood Sage Rd, Peoria, IL 61615 Phone: 309-243-3000 Fax: 309-243-3215
Mckenzie Regan Likes, APN-C Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636 Phone: 309-672-5522
Sarah E Dominique, APN CDE Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-624-2480
Melissa R Norris, CNS Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 3525 N University St, Peoria, IL 61604 Phone: 309-886-9172 Fax: 309-509-4045

Kyle D Kiesewetter, - Medicare in Peoria, IL