Kyrstin Rachael Sedlacek, is a medicare enrolled "Internal Medicine - Cardiovascular Disease" in Traverse City, Michigan. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Munson Medical Group and her current practice location is
4020 Copper Vw Ste 104, Traverse City, Michigan. You can reach out to her office (for appointments etc.) via phone at
(231) 421-6921.
Kyrstin Rachael Sedlacek is licensed to practice in Michigan (license number 4704318300) 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 1821604604.
Provider's Profile
Full Name | Kyrstin Rachael Sedlacek |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 4 Years |
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Location | 4020 Copper Vw Ste 104, Traverse City, 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. |
Medical Education and Training:
- Kyrstin Rachael Sedlacek graduated from nursing school in 2020
NPI Data:
- NPI Number: 1821604604
- Provider Enumeration Date: 09/17/2020
- Last Update Date: 06/23/2021
Medicare PECOS Information:
- PECOS PAC ID: 3971922782
- Enrollment ID: I20200929000394
Medical Identifiers
Medical identifiers for Kyrstin Rachael Sedlacek such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821604604 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | 4704318300 (Michigan) | Secondary |
207RC0000X | Internal Medicine - Cardiovascular Disease | 4704318300 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Munson Medical Group | 8820277015 | 139 |
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. Kyrstin Rachael Sedlacek allows following entities to bill medicare on her behalf.
Entity Name | Munson Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1821398322 PECOS PAC ID: 8820277015 Enrollment ID: O20110120000061 |
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Entity Name | Chronic Care Management Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1730506726 PECOS PAC ID: 7214150770 Enrollment ID: O20140602001145 |
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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. Kyrstin Rachael Sedlacek 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 |
Kyrstin Rachael Sedlacek, 9041 Kingsfield Dr, Kingsley, MI 49649-8709 Ph: (231) 668-2792 | Kyrstin Rachael Sedlacek, 4020 Copper Vw Ste 104, Traverse City, MI 49684-7041 Ph: (231) 421-6921 |
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