Mr Benjamin John Kozloski, CRNA in Berlin, WI - Medicare Certified Registered Nurse Anesthetist (crna)

Mr Benjamin John Kozloski, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Berlin, Wisconsin. He graduated from nursing school in 2020 and has 5 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Racine Anesthesia Services Llc and his current practice location is 225 Memorial Dr, Berlin, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 361-1313.

Mr Benjamin John Kozloski is licensed to practice in Illinois (license number 041407585) 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 1841814472.

Contact Information

	Mr Benjamin John Kozloski, CRNA
	225 Memorial Dr, Berlin, WI 54923-1243
	(920) 361-1313
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Benjamin John Kozloski
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	5 Years
Location	225 Memorial Dr, Berlin, Wisconsin
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Benjamin John Kozloski graduated from nursing school in 2020

NPI Data:

NPI Number: 1841814472
Provider Enumeration Date: 05/29/2020
Last Update Date: 05/29/2020

Medicare PECOS Information:

PECOS PAC ID: 5395167175
Enrollment ID: I20200624001449

Medical Identifiers

Medical identifiers for Mr Benjamin John Kozloski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841814472	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	041407585 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ascension Ne Wisconsin - St Elizabeth Campus	Appleton, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Racine Anesthesia Services Llc	8628103777	68

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 Benjamin John Kozloski allows following entities to bill medicare on his behalf.

Entity Name	Association Of Hospital Anesthesiologists Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720076474 PECOS PAC ID: 3476539875 Enrollment ID: O20050719001050

Entity Name	New Anesthesiology Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629163894 PECOS PAC ID: 0547269078 Enrollment ID: O20061212000118

Entity Name	Racine Anesthesia Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467782748 PECOS PAC ID: 8628103777 Enrollment ID: O20100316000106

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 Benjamin John Kozloski 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 Benjamin John Kozloski, CRNA 2957 Brighton Pl, Green Bay, WI 54311-6693 Ph: (920) 562-2790	Mr Benjamin John Kozloski, CRNA 225 Memorial Dr, Berlin, WI 54923-1243 Ph: (920) 361-1313

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Berlin, WI

Jessica Jo Tomasiewicz, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 225 Memorial Dr, Berlin, WI 54923 Phone: 920-361-5538 Fax: 920-361-5499
Tony D Singh, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 225 Memorial Dr, Berlin, WI 54923 Phone: 920-361-5538 Fax: 920-361-5499
Keith Anthony Krause, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 225 Memorial Dr, Berlin, WI 54923 Phone: 920-361-5538
Mr. Thomas Simpkins, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 225 Memorial Dr, Berlin, WI 54923 Phone: 920-361-5538 Fax: 920-361-5499
Mr. Franklin John Mcshane, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 225 Memorial Dr, Berlin, WI 54923 Phone: 920-361-5538 Fax: 920-361-5499
Dina N Nelson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 225 Memorial Drive, Anesthesia Dept, Berlin, WI 54923 Phone: 920-361-5538

Mr Benjamin John Kozloski, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Berlin, WI