Mr David A Kloss, MD in Shawano, WI

Mr David A Kloss, MD is a medicare enrolled "Surgery" physician in Shawano, Wisconsin. His current practice location is 100 County Road B, Shawano, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (715) 524-2161.

Mr David A Kloss is licensed to practice in Wisconsin (license number 68403) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1003842915.

Contact Information

	Mr David A Kloss, MD
	100 County Road B, Shawano, WI 54166-7072
	(715) 524-2161
	(715) 524-8164

Map and Direction

Physician's Profile

Full Name	Mr David A Kloss
Gender	Male
Speciality	Surgery
Location	100 County Road B, Shawano, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003842915
Provider Enumeration Date: 06/23/2006
Last Update Date: 06/05/2019

Medicare PECOS Information:

PECOS PAC ID: 6002009065
Enrollment ID: I20111028000429

Medical Identifiers

Medical identifiers for Mr David A Kloss such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003842915	NPI	-	NPPES
010033503CT01	Other	CT	ANTHEM BC / BS
001335034	Medicaid	CT
0706347	Other	CT	AETNA / US HEALTHCARE
001335034	Other	CT	BLUE CARE FAMILY PLAN
335030	Other	CT	CONNECTICARE
1144213006	Other	CT	CIGNA
WIS020	Other	CT	OXFORD
030515	Other	CT	HEALTHNET
P02113	Other	CT	CHA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	68403 (Wisconsin)	Primary
174400000X	Specialist	033503 (Connecticut)	Secondary
208600000X	Surgery	54709 (Minnesota)	Secondary

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. Mr David A Kloss allows following entities to bill medicare on his behalf.

Entity Name	Astera Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134305162 PECOS PAC ID: 2961395272 Enrollment ID: O20040202001082

Entity Name	Community Memorial Hospital Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003869082 PECOS PAC ID: 0042129991 Enrollment ID: O20040202001203

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. Mr David A Kloss 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
Mr David A Kloss, MD 415 Jefferson St North, Tri-county Hospital, Wadena, MN 56482-1296 Ph: (218) 631-3510	Mr David A Kloss, MD 100 County Road B, Shawano, WI 54166-7072 Ph: (715) 524-2161

Reviews and Comments

Surgery Doctors in Shawano, WI

Anna G Gilbertson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-524-2161 Fax: 715-524-8164
Craig D Wendt, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-524-2161 Fax: 715-524-8164

Mr David A Kloss, MD - Medicare Surgery in Shawano, WI