Mark Kassebaum, MD is a medicare enrolled "Anesthesiology" physician in Monticello, Minnesota. He went to University Of Iowa, Rj & L Carver College Of Medicine and graduated in 1988 and has 37 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Regional Anesthesia Services Pa, Centracare Health System-nr Llc and his current practice location is
1013 Hart Blvd, Monticello, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(612) 670-0610.
Mark Kassebaum is licensed to practice in Minnesota (license number 33240) 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 1205924776.
Physician's Profile
| Full Name | Mark Kassebaum |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Experience | 37 Years |
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| Location | 1013 Hart Blvd, Monticello, Minnesota |
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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:
- Mark Kassebaum attended and graduated from University Of Iowa, Rj & L Carver College Of Medicine in 1988
NPI Data:
- NPI Number: 1205924776
- Provider Enumeration Date: 10/10/2006
- Last Update Date: 03/27/2019
Medicare PECOS Information:
- PECOS PAC ID: 1052596012
- Enrollment ID: I20110506000513
Medical Identifiers
Medical identifiers for Mark Kassebaum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1205924776 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207L00000X | Anesthesiology | 33240 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Regional Anesthesia Services Pa | 0648250548 | 9 |
| Centracare Health System-nr Llc | 3870739410 | 50 |
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. Mark Kassebaum allows following entities to bill medicare on his behalf.
| Entity Name | Regional Anesthesia Services Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073621850 PECOS PAC ID: 0648250548 Enrollment ID: O20040721001562 |
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| Entity Name | Centracare Health System-nr Llc |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1275872772 PECOS PAC ID: 3870739410 Enrollment ID: O20130426000215 |
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| Entity Name | Centracare Health System-nr Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558600874 PECOS PAC ID: 3870739410 Enrollment ID: O20130515000683 |
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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. Mark Kassebaum 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 |
Mark Kassebaum, MD 1013 Hart Blvd, Monticello, MN 55362-8575 Ph: (612) 670-0610 | Mark Kassebaum, MD 1013 Hart Blvd, Monticello, MN 55362-8575 Ph: (612) 670-0610 |
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