Travis John Kleist, FNP-C in Richland Center, WI

Travis John Kleist, FNP-C is a medicare enrolled "Nurse Practitioner" in Richland Center, Wisconsin. His current practice location is 333 E 2nd St, Richland Center, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 647-6321.

Travis John Kleist is licensed to practice in Wisconsin (license number 9974-33) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1376177964.

Contact Information

	Travis John Kleist, FNP-C
	333 E 2nd St, Richland Center, WI 53581-1914
	(608) 647-6321
	Not Available

Map and Direction

Provider's Profile

Full Name	Travis John Kleist
Gender	Male
Speciality	Nurse Practitioner
Location	333 E 2nd St, Richland Center, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376177964
Provider Enumeration Date: 02/24/2020
Last Update Date: 03/24/2020

Medicare PECOS Information:

PECOS PAC ID: 5395176762
Enrollment ID: I20200519002158

Medical Identifiers

Medical identifiers for Travis John Kleist such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376177964	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	9974-33 (Wisconsin)	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. Travis John Kleist allows following entities to bill medicare on his behalf.

Entity Name	Prairie Clinic Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235163494 PECOS PAC ID: 3274521067 Enrollment ID: O20040501000377

Entity Name	Richland Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659301273 PECOS PAC ID: 7618861618 Enrollment ID: O20110318000356

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. Travis John Kleist 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
Travis John Kleist, FNP-C 333 E 2nd St, Richland Center, WI 53581-1914 Ph: (608) 647-6321	Travis John Kleist, FNP-C 333 E 2nd St, Richland Center, WI 53581-1914 Ph: (608) 647-6321

Reviews and Comments

Nurse Practitioner Nurses in Richland Center, WI

Jenna Taylor, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 333 E 2nd St, Richland Center, WI 53581 Phone: 608-647-6321
Martine Banda-wolk, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 333 E 2nd St, Richland Center, WI 53581 Phone: 608-647-6321
Anna Banker, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 333 E 2nd St, Richland Center, WI 53581 Phone: 608-647-6321
Philomena M Poole, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 E 2nd St, Richland Center, WI 53581 Phone: 608-647-6161 Fax: 608-647-3178
Kathryn E. Puls, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1520 Rainbow Dr, Richland Center, WI 53581 Phone: 608-354-3898
Kelly A Pickens, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 301 E 2nd St, Richland Center, WI 53581 Phone: 608-647-6161 Fax: 608-647-3178

Travis John Kleist, FNP-C - Medicare Nurse Practitioner in Richland Center, WI