Mary B Klonecki, APNP is a medicare enrolled "Nurse Practitioner - Family" in Arcadia, Wisconsin. She graduated from nursing school in 2011 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Gundersen Clinic Ltd and her current practice location is
625 W Main St, Arcadia, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 323-3210.
Mary B Klonecki is licensed to practice in Wisconsin (license number 5228) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1336421460.
Provider's Profile
| Full Name | Mary B Klonecki |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 15 Years |
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| Location | 625 W Main St, Arcadia, Wisconsin |
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| Accepts Medicare Assignments | Yes. She 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:
- Mary B Klonecki graduated from nursing school in 2011
NPI Data:
- NPI Number: 1336421460
- Provider Enumeration Date: 09/14/2011
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 8527233907
- Enrollment ID: I20130403000480
Medical Identifiers
Medical identifiers for Mary B Klonecki such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1336421460 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 2036302 (Minnesota) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 203630-2 (Minnesota) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 5228 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Gundersen Clinic Ltd | 9638082779 | 442 |
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. Mary B Klonecki allows following entities to bill medicare on her behalf.
| Entity Name | Gundersen Clinic Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851343115
PECOS PAC ID: 9638082779
Enrollment ID: O20031106000139 |
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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. Mary B Klonecki 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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Mary B Klonecki, APNP
1836 South Ave,
La Crosse, WI 54601-5429
Ph: (608) 782-7300 | Mary B Klonecki, APNP
625 W Main St,
Arcadia, WI 54612-1227
Ph: (608) 323-3210 |
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