Kelli Marie Mikolosko, CRNA in Allentown, PA - Medicare Nurse Anesthetist, Certified Registered

Kelli Marie Mikolosko, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Allentown, Pennsylvania. Her current practice location is 1200 S Cedar Crest Blvd, Allentown, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (610) 402-9099.

Kelli Marie Mikolosko is licensed to practice in Pennsylvania (license number 082609) 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 1417184268.

Contact Information

	Kelli Marie Mikolosko, CRNA
	1200 S Cedar Crest Blvd, Allentown, PA 18103-6202
	(610) 402-9099
	(610) 402-9029

Map and Direction

Provider's Profile

Full Name	Kelli Marie Mikolosko
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	1200 S Cedar Crest Blvd, Allentown, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417184268
Provider Enumeration Date: 06/19/2009
Last Update Date: 03/25/2013

Medicare PECOS Information:

PECOS PAC ID: 7719030097
Enrollment ID: I20090804000462

Medical Identifiers

Medical identifiers for Kelli Marie Mikolosko such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417184268	NPI	-	NPPES
1027800840001	Medicaid	PA
2112787	Other	PA	HIGHMARK
1585159	Other	PA	GATEWAY
3723133000	Other	PA	IBC
50086413	Other	PA	CAPITAL ADVANTAGE
11976788	Other	PA	CAQH
127848	Other	PA	GEISINGER
2112787	Other	PA	FIRST PRIORITY
9769481	Other	PA	AETNA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN-564095 (Pennsylvania)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	082609 (Pennsylvania)	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. Kelli Marie Mikolosko allows following entities to bill medicare on her behalf.

Entity Name	Lehigh Valley Anesthesia Services, P. C.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730174731 PECOS PAC ID: 8820992183 Enrollment ID: O20031120000076

Entity Name	Lehigh Valley Physician Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457309650 PECOS PAC ID: 3072425123 Enrollment ID: O20040227000335

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. Kelli Marie Mikolosko 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
Kelli Marie Mikolosko, CRNA 1245 S Cedar Crest Blvd Ste 301, Allentown, PA 18103-6258 Ph: (610) 402-9099	Kelli Marie Mikolosko, CRNA 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 Ph: (610) 402-9099

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Allentown, PA

Andrew Hornick, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1736 Hamilton St, Allentown, PA 18104 Phone: 610-628-8300
Marissa Romo, SRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 100 College Dr, Allentown, PA 18104 Phone: 610-437-4471
Mark T. Peleschak, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5000 Tilghman St, Ste 240, Allentown, PA 18104 Phone: 610-395-4044 Fax: 610-395-5693
Ronald S Horvat, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 24 S 18th St, Allentown, PA 18104 Phone: 610-628-8372 Fax: 610-628-8648
Susan Elizabeth Abrams, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3147 College Heights Blvd, College Heights Endoscopy Center, Allentown, PA 18104 Phone: 610-841-2432 Fax: 610-841-4433
Krisztina Fazio, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1200 S Cedar Crest Blvd, Allentown, PA 18103 Phone: 610-402-8000
Lisa Verbosh, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1245 S Cedar Crest Blvd Ste 301, Allentown, PA 18103 Phone: 610-402-8896 Fax: 610-402-9029

Kelli Marie Mikolosko, CRNA - Medicare Nurse Anesthetist, Certified Registered in Allentown, PA