Korena Marie Katherine Kemerling-theobald, NNP-BC in Minneapolis, MN

Korena Marie Katherine Kemerling-theobald, NNP-BC is a medicare enrolled "Nurse Practitioner - Neonatal, Critical Care" in Minneapolis, Minnesota. Her current practice location is 2450 Riverside Ave, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 365-6777.

Korena Marie Katherine Kemerling-theobald is licensed to practice in Wisconsin (license number 11387) 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 1063069284.

Contact Information

	Korena Marie Katherine Kemerling-theobald, NNP-BC
	2450 Riverside Ave, Minneapolis, MN 55454-1450
	(612) 365-6777
	Not Available

Map and Direction

Provider's Profile

Full Name	Korena Marie Katherine Kemerling-theobald
Gender	Female
Speciality	Nurse Practitioner - Neonatal, Critical Care
Location	2450 Riverside Ave, Minneapolis, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063069284
Provider Enumeration Date: 08/22/2019
Last Update Date: 11/17/2021

Medicare PECOS Information:

PECOS PAC ID: 5193056208
Enrollment ID: I20211124000318

Medical Identifiers

Medical identifiers for Korena Marie Katherine Kemerling-theobald such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063069284	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LN0005X	Nurse Practitioner - Neonatal, Critical Care	6956 (Minnesota)	Secondary
363LN0005X	Nurse Practitioner - Neonatal, Critical Care	11387 (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. Korena Marie Katherine Kemerling-theobald allows following entities to bill medicare on her behalf.

Entity Name	Mayo Clinic Health System-franciscan Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629056049 PECOS PAC ID: 0345152443 Enrollment ID: O20031110000684

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. Korena Marie Katherine Kemerling-theobald 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
Korena Marie Katherine Kemerling-theobald, NNP-BC E9674 County Road Ss, Viroqua, WI 54665-7155 Ph: (608) 386-8463	Korena Marie Katherine Kemerling-theobald, NNP-BC 2450 Riverside Ave, Minneapolis, MN 55454-1450 Ph: (612) 365-6777

Reviews and Comments

Nurse Practitioner Nurses in Minneapolis, MN

Shiao-lin D Hui, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 920 2nd Ave S, Suite 400, Minneapolis, MN 55402 Phone: 612-659-7111 Fax: 612-659-7101
Deborah Elkins, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 920 2nd Ave S, Suite 400, Minneapolis, MN 55402 Phone: 612-225-1534
Anne Hawkins, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2530 Chicago Ave, Csc 390, Minneapolis, MN 55404 Phone: 612-813-6102
Mrs. Mary Susan Clipp, CPNP-AC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2450 Riverside Ave, Minneapolis, MN 55454 Phone: 612-365-3100 Fax: 612-365-3110
Derek Przybylski, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2525 Chicago Ave, Minneapolis, MN 55404 Phone: 715-207-9330
Dr. Kenneth Mcrae, DNP, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2925 Chicago Ave, Minneapolis, MN 55407 Phone: 763-236-5000
Hannah L. Balfanz, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 814 South 3rd Street, Minneapolis, MN 55415 Phone: 612-888-9792

Korena Marie Katherine Kemerling-theobald, NNP-BC - Medicare Nurse Practitioner in Minneapolis, MN