Mary K Kiesewetter, PMHNP in Champaign, IL - Medicare Nurse Practitioner

Mary K Kiesewetter, PMHNP is a medicare enrolled "Nurse Practitioner" in Champaign, Illinois. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Carle Health Care Incorporated and her current practice location is 1802 S Mattis Ave, Champaign, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 365-2855.

Mary K Kiesewetter is licensed to practice in Illinois (license number 209020494) 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 1114563640.

Contact Information

	Mary K Kiesewetter, PMHNP
	1802 S Mattis Ave, Champaign, IL 61821-5923
	(217) 365-2855
	Not Available

Map and Direction

Provider's Profile

Full Name	Mary K Kiesewetter
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	1802 S Mattis Ave, Champaign, Illinois
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:

Mary K Kiesewetter graduated from nursing school in 2019

NPI Data:

NPI Number: 1114563640
Provider Enumeration Date: 11/19/2019
Last Update Date: 11/21/2019

Medicare PECOS Information:

PECOS PAC ID: 7214362425
Enrollment ID: I20200116001310

Medical Identifiers

Medical identifiers for Mary K Kiesewetter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114563640	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	209020494 (Illinois)	Primary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	209.020494 (Illinois)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
The Carle Foundation Hospital	Urbana, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Carle Health Care Incorporated	3577515774	799

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. Mary K Kiesewetter allows following entities to bill medicare on her behalf.

Entity Name	Carle Health Care Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829

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. Mary K 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
Mary K Kiesewetter, PMHNP 1802 S Mattis Ave, Champaign, IL 61821-5923 Ph: (217) 365-2855	Mary K Kiesewetter, PMHNP 1802 S Mattis Ave, Champaign, IL 61821-5923 Ph: (217) 365-2855

Reviews and Comments

Nurse Practitioner Nurses in Champaign, IL

Emily Stephenson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1701 Curtis Rd, Champaign, IL 61822 Phone: 217-365-6207 Fax: 217-365-6380
Mrs. Tiffany Ann Rushing, APN, FNP-BC, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1802 S Mattis Ave, Champaign, IL 61821 Phone: 217-365-2855 Fax: 217-365-2856
Maddison P. Draper, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2718 N Prospect Ave, Champaign, IL 61822 Phone: 217-337-3852 Fax: 217-337-3853
Jessica Lynn Mandrell, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 819 Bloomington Rd, Champaign, IL 61820 Phone: 217-356-1558
Ms. Greta Obereiner, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1801 Windsor Rd, Champaign, IL 61822 Phone: 217-366-8130 Fax: 217-366-6106
Alger Penas, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2300 S 1st St, Champaign, IL 61820 Phone: 217-383-9400 Fax: 217-383-9691
Miss Abigayl Frields, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1813 W Kirby Ave Ste 120, Champaign, IL 61821 Phone: 217-383-3131

Mary K Kiesewetter, PMHNP - Medicare Nurse Practitioner in Champaign, IL