Kalai Ann Brink, AGNP in Ortonville, MN - Medicare Nurse Practitioner

Kalai Ann Brink, AGNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Ortonville, Minnesota. Her current practice location is 450 Eastvold Ave, Ortonville, Minnesota. You can reach out to her office (for appointments etc.) via phone at (320) 839-2502.

Kalai Ann Brink is licensed to practice in Minnesota (license number 11800) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1780422881.

Contact Information

	Kalai Ann Brink, AGNP
	450 Eastvold Ave, Ortonville, MN 56278-1252
	(320) 839-2502
	Not Available

Map and Direction

Provider's Profile

Full Name	Kalai Ann Brink
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	450 Eastvold Ave, Ortonville, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780422881
Provider Enumeration Date: 07/15/2024
Last Update Date: 07/19/2024

Medicare PECOS Information:

PECOS PAC ID: 7416485289
Enrollment ID: I20250107001588

Medical Identifiers

Medical identifiers for Kalai Ann Brink such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780422881	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	11800 (Minnesota)	Primary

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. Kalai Ann Brink allows following entities to bill medicare on her behalf.

Entity Name	Lakewood Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841280823 PECOS PAC ID: 1052229671 Enrollment ID: O20031104000411

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. Kalai Ann Brink 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
Kalai Ann Brink, AGNP 3780 N Garfield Ave Ste 101, Loveland, CO 80538-2237 Ph: () -	Kalai Ann Brink, AGNP 450 Eastvold Ave, Ortonville, MN 56278-1252 Ph: (320) 839-2502

Reviews and Comments

Nurse Practitioner Nurses in Ortonville, MN

Beth Fladhammer, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 450 Eastvold Ave, Ortonville, MN 56278 Phone: 320-839-6157 Fax: 320-839-3851
Tracy Lynn Dozak, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 450 Eastvold Ave, Ortonville, MN 56278 Phone: 320-839-6157 Fax: 320-839-3851
Twila Johanna Mursu, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 450 Eastvold Ave, Ortonville, MN 56278 Phone: 320-839-6157 Fax: 320-839-6159
Ms. Cheryl E Jurgens, FNP, CDE Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 450 Eastvold Ave, Ortonville, MN 56278 Phone: 320-839-6157 Fax: 320-839-3851
Michelle Rose Collins, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 450 Eastvold Ave, Ortonville, MN 56278 Phone: 507-858-1210
Sheree S Keller, WHCNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 450 Eastvold Ave, Ortonville, MN 56278 Phone: 320-839-6157 Fax: 320-839-3851

Kalai Ann Brink, AGNP - Medicare Nurse Practitioner in Ortonville, MN