Jesse M Niederklein, DO is a medicare enrolled "Anesthesiology" physician in Pitsburg, Kansas. He graduated from medical school in 2006 and has 20 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Mercy Clinic Pittsburg Llc and his current practice location is
1 Mt. Carmel Way, Pitsburg, Kansas. You can reach out to his office (for appointments etc.) via phone at
(620) 231-6100.
Jesse M Niederklein is licensed to practice in Kansas (license number 4543) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1710219225.
Physician's Profile
| Full Name | Jesse M Niederklein |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Experience | 20 Years |
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| Location | 1 Mt. Carmel Way, Pitsburg, Kansas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jesse M Niederklein graduated from medical school in 2006
NPI Data:
- NPI Number: 1710219225
- Provider Enumeration Date: 02/08/2010
- Last Update Date: 02/04/2016
Medicare PECOS Information:
- PECOS PAC ID: 7618009226
- Enrollment ID: I20100717000165
Medical Identifiers
Medical identifiers for Jesse M Niederklein such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1710219225 | NPI | - | NPPES |
| 200654320A | Medicaid | KS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207L00000X | Anesthesiology | 4543 (Oklahoma) | Secondary |
| 207L00000X | Anesthesiology | 4543 (Kansas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Mercy Clinic Pittsburg Llc | 7618418088 | 32 |
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. Jesse M Niederklein allows following entities to bill medicare on his behalf.
| Entity Name | Ascension Via Christi Hospital Pittsburg, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760408975 PECOS PAC ID: 0547171670 Enrollment ID: O20031105000718 |
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| Entity Name | Hospital District No 1 Crawford County |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508897182 PECOS PAC ID: 3476464538 Enrollment ID: O20040112000337 |
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| Entity Name | Mercy Clinic Pittsburg Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912751884 PECOS PAC ID: 7618418088 Enrollment ID: O20240925002855 |
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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. Jesse M Niederklein 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 |
Jesse M Niederklein, DO 1 Mt Carmel Way, Pittsburg, KS 66762-7587 Ph: (620) 231-7600 | Jesse M Niederklein, DO 1 Mt. Carmel Way, Pitsburg, KS 66762 Ph: (620) 231-6100 |
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