Miss Kelly Nicole Tesser, RN is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Mukwonago, Wisconsin. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Metropolitan Anesthesia Network Llp and her current practice location is
115 Michaels Ct Apt 7, Mukwonago, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 410-6719.
Miss Kelly Nicole Tesser is licensed to practice in Minnesota (license number 120305) 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 1174830152.
Provider's Profile
| Full Name | Miss Kelly Nicole Tesser |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 7 Years |
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| Location | 115 Michaels Ct Apt 7, Mukwonago, Wisconsin |
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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. |
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Medical Education and Training:
- Miss Kelly Nicole Tesser graduated from nursing school in 2017
NPI Data:
- NPI Number: 1174830152
- Provider Enumeration Date: 09/11/2010
- Last Update Date: 03/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 2860753407
- Enrollment ID: I20180222002779
Medical Identifiers
Medical identifiers for Miss Kelly Nicole Tesser such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1174830152 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 120305 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Metropolitan Anesthesia Network Llp | 5698689123 | 632 |
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. Miss Kelly Nicole Tesser allows following entities to bill medicare on her behalf.
| Entity Name | Metropolitan Anesthesia Network Llp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558314427
PECOS PAC ID: 5698689123
Enrollment ID: O20031118000579 |
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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. Miss Kelly Nicole Tesser 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 |
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Miss Kelly Nicole Tesser, RN
333 Smith Ave N,
Saint Paul, MN 55102-2344
Ph: (190) 410-6719 | Miss Kelly Nicole Tesser, RN
115 Michaels Ct Apt 7,
Mukwonago, WI 53149-1175
Ph: (920) 410-6719 |
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