Dr Jacalyn Anne Bossen Kawiecki, MD, MHA is a
Physical Medicine & Rehabilitation physician based in Red Wing, Minnesota. Dr Jacalyn Anne Bossen Kawiecki is licensed to practice in Minnesota (license number 42926) and her current practice location is 1412 W 4th St, Red Wing Healthcare Community, Red Wing, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(651) 388-2843.
NPI number for Dr Jacalyn Anne Bossen Kawiecki is 1659329621 and her current mailing address is 6235 Wentworth Ave, J.a.b. Kawiecki, Inc.; D.b.a. Excel Rehabilitation, Richfield, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1659329621.
Physician's Profile
| Full Name | Dr Jacalyn Anne Bossen Kawiecki |
|---|
| Gender | Female |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 1412 W 4th St, Red Wing, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1659329621
- Provider Enumeration Date: 05/04/2006
- Last Update Date: 09/06/2013
Medical Identifiers
Medical identifiers for Dr Jacalyn Anne Bossen Kawiecki such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659329621 | NPI | - | NPPES |
| 206922900 | Medicaid | MN | |
| HP37218 | Other | | HEALTH PARTNERS |
| 611855422B159 | Other | | TRICARE |
| 81Q7G72KA | Other | MN | BCBS MINNESOTA |
| 34247000 | Medicaid | WI | |
| 963371033094 | Other | | PREFERRED ONE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | 42926 (Minnesota) | Primary |
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. Dr Jacalyn Anne Bossen Kawiecki is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jacalyn Anne Bossen Kawiecki, MD, MHA
6235 Wentworth Ave, J.a.b. Kawiecki, Inc.; D.b.a. Excel Rehabilitation,
Richfield, MN 55423-1540
Ph: (612) 481-1233 | Dr Jacalyn Anne Bossen Kawiecki, MD, MHA
1412 W 4th St, Red Wing Healthcare Community,
Red Wing, MN 55066-2107
Ph: (651) 388-2843 |
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