Lynn M Kitslaar, RD in Green Bay, WI - Medicare Registered Dietitian Or Nutrition Professional Provider

Lynn M Kitslaar, RD is a medicare enrolled "Dietitian, Registered" provider in Green Bay, Wisconsin. She graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice Bellin Memorial Hospital Inc and her current practice location is 1630 Commanche Ave, Green Bay, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 430-4700.

Lynn M Kitslaar is licensed to practice in Wisconsin (license number 1399-29) 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 1255316717.

Contact Information

	Lynn M Kitslaar, RD
	1630 Commanche Ave, Green Bay, WI 54313-5753
	(920) 430-4700
	(920) 430-4747

Map and Direction

Healthcare Provider's Profile

Full Name	Lynn M Kitslaar
Gender	Female
Speciality	Registered Dietitian Or Nutrition Professional
Experience	28 Years
Location	1630 Commanche Ave, Green Bay, Wisconsin
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:

Lynn M Kitslaar graduated from medical school in 1996

NPI Data:

NPI Number: 1255316717
Provider Enumeration Date: 12/07/2005
Last Update Date: 08/21/2019

Medicare PECOS Information:

PECOS PAC ID: 9335128503
Enrollment ID: I20040720000692

Medical Identifiers

Medical identifiers for Lynn M Kitslaar such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255316717	NPI	-	NPPES
20110340	Other	WI	NATIONAL CERTIFICATION BOARD FOR DIABETES EDUCATORS
850912	Other	WI	COMMISSION ON DIETETIC REGISTRATION

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133VN1006X	Dietitian, Registered - Nutrition, Metabolic	1399-29 (Wisconsin)	Secondary
133V00000X	Dietitian, Registered	1399-29 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Bellin Memorial Hospital Inc	8820900749	513

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. Lynn M Kitslaar allows following entities to bill medicare on her behalf.

Provider Name	Bellin Memorial Hospital Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1609838473 PECOS PAC ID: 8820900749 Enrollment ID: O20031121000089

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. Lynn M Kitslaar 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
Lynn M Kitslaar, RD Po Box 22487, Green Bay, WI 54305-2487 Ph: (920) 445-7222	Lynn M Kitslaar, RD 1630 Commanche Ave, Green Bay, WI 54313-5753 Ph: (920) 430-4700

Reviews and Comments

Dietitian, Registered in Green Bay, WI

Bonnie Marie Cleven, RD, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1207 Grignon St, Green Bay, WI 54301 Phone: 920-857-9093
Anne Marie Vollrath, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1630 Commanche Ave, Green Bay, WI 54313 Phone: 920-430-4700
Connie Bloedel, CERTIFIED DIETICIAN Dietitian Medicare: Medicare Enrolled Practice Location: 1727 Shawano Ave, Green Bay, WI 54303 Phone: 920-272-1010
Amber M Langill, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-433-3500
Lee A Hyrkas, RD,CD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1630 Commanche Ave, Green Bay, WI 54313 Phone: 920-430-4700 Fax: 920-430-4747
Kelsey Stoeger, RD CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2851 University Ave, Green Bay, WI 54311 Phone: 920-431-2740
Elizabeth Larson, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-3229

Lynn M Kitslaar, RD - Medicare Dietitian in Green Bay, WI