Jesse Lee Berndt, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Cudahy, Wisconsin. He graduated from nursing school in 2023 and has 2 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Vituity-wisconsin Anesthesia Sc and his current practice location is
3819 E Lunham Ave, Cudahy, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(414) 573-4716.
Jesse Lee Berndt is licensed to practice in Wisconsin (license number 178125) 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 1376214809.
Provider's Profile
| Full Name | Jesse Lee Berndt |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 2 Years |
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| Location | 3819 E Lunham Ave, Cudahy, Wisconsin |
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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. |
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Medical Education and Training:
- Jesse Lee Berndt graduated from nursing school in 2023
NPI Data:
- NPI Number: 1376214809
- Provider Enumeration Date: 09/23/2021
- Last Update Date: 11/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 3072976224
- Enrollment ID: I20230906000365
Medical Identifiers
Medical identifiers for Jesse Lee Berndt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1376214809 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 178125 (Wisconsin) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 178125 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Vituity-wisconsin Anesthesia Sc | 2163968819 | 113 |
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 Lee Berndt allows following entities to bill medicare on his behalf.
| Entity Name | Vituity-wisconsin Anesthesia Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821831975
PECOS PAC ID: 2163968819
Enrollment ID: O20240718002237 |
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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 Lee Berndt 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 |
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Jesse Lee Berndt,
3819 E Lunham Ave,
Cudahy, WI 53110-1242
Ph: (414) 573-4716 | Jesse Lee Berndt,
3819 E Lunham Ave,
Cudahy, WI 53110-1242
Ph: (414) 573-4716 |
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