Dr Kaci Lee Axelson, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Watertown, Wisconsin. She graduated from medical school in 2018 and has 7 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Watertown Physician Practices Llc and her current practice location is
125 Hospital Dr, Watertown, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(262) 492-6549.
Dr Kaci Lee Axelson is licensed to practice in Michigan (license number 4351042031) 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 1043703325.
Physician's Profile
| Full Name | Dr Kaci Lee Axelson |
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| Gender | Female |
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| Speciality | Obstetrics/gynecology |
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| Experience | 7 Years |
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| Location | 125 Hospital Dr, Watertown, 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:
- Dr Kaci Lee Axelson graduated from medical school in 2018
NPI Data:
- NPI Number: 1043703325
- Provider Enumeration Date: 06/11/2018
- Last Update Date: 08/03/2022
Medicare PECOS Information:
- PECOS PAC ID: 3072997212
- Enrollment ID: I20220907001447
Medical Identifiers
Medical identifiers for Dr Kaci Lee Axelson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043703325 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 4301115624 (Michigan) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 4351042031 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Watertown Physician Practices Llc | 8022329408 | 45 |
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. Dr Kaci Lee Axelson allows following entities to bill medicare on her behalf.
| Entity Name | Watertown Physician Practices Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770964363
PECOS PAC ID: 8022329408
Enrollment ID: O20150626000114 |
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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. Dr Kaci Lee Axelson 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 |
|---|
Dr Kaci Lee Axelson, MD
128 Hospital Dr,
Watertown, WI 53098-3304
Ph: (920) 262-4825 | Dr Kaci Lee Axelson, MD
125 Hospital Dr,
Watertown, WI 53098-3303
Ph: (262) 492-6549 |
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