Mildred Denise Kiawoin, FNP in Saint Paul, MN

Mildred Denise Kiawoin, FNP is a medicare enrolled "Registered Nurse" in Saint Paul, Minnesota. Her current practice location is 777 Raymond Ave, Saint Paul, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 447-3755.

Mildred Denise Kiawoin is licensed to practice in Minnesota (license number 2149914) 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 1710592530.

Contact Information

	Mildred Denise Kiawoin, FNP
	777 Raymond Ave, Saint Paul, MN 55114-1522
	(651) 447-3755
	Not Available

Map and Direction

Provider's Profile

Full Name	Mildred Denise Kiawoin
Gender	Female
Speciality	Registered Nurse
Location	777 Raymond Ave, Saint Paul, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710592530
Provider Enumeration Date: 09/09/2020
Last Update Date: 06/16/2022

Medicare PECOS Information:

PECOS PAC ID: 2961885587
Enrollment ID: I20220815003107

Medical Identifiers

Medical identifiers for Mildred Denise Kiawoin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710592530	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	8864 (Minnesota)	Secondary
163W00000X	Registered Nurse	2149914 (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. Mildred Denise Kiawoin allows following entities to bill medicare on her behalf.

Entity Name	Sasaki Medical Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326490475 PECOS PAC ID: 3779879903 Enrollment ID: O20160914000711

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. Mildred Denise Kiawoin 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
Mildred Denise Kiawoin, FNP 11901 Central Park Way, Maple Grove, MN 55369-2651 Ph: (763) 807-5334	Mildred Denise Kiawoin, FNP 777 Raymond Ave, Saint Paul, MN 55114-1522 Ph: (651) 447-3755

Reviews and Comments

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Mildred Denise Kiawoin, FNP - Medicare Registered Nurse in Saint Paul, MN