Mrs Cathleen Mary Dolores Janitschke, is a medicare enrolled "Nurse Anesthetist, Certified Registered" 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.
Mrs Cathleen Mary Dolores Janitschke is licensed to practice in Minnesota (license number R110815-0) 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 1487619904.
Provider's Profile
| Full Name | Mrs Cathleen Mary Dolores Janitschke |
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| Gender | Female |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 450 Eastvold Ave, Ortonville, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1487619904
- Provider Enumeration Date: 04/18/2006
- Last Update Date: 07/30/2025
Medicare PECOS Information:
- PECOS PAC ID: 9537239264
- Enrollment ID: I20080605000897
Medical Identifiers
Medical identifiers for Mrs Cathleen Mary Dolores Janitschke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1487619904 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 367500000X | Nurse Anesthetist, Certified Registered | R110815-0 (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. Mrs Cathleen Mary Dolores Janitschke allows following entities to bill medicare on her behalf.
| Entity Name | Ccm Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720086028 PECOS PAC ID: 4284539453 Enrollment ID: O20031201000642 |
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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. Mrs Cathleen Mary Dolores Janitschke 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 |
Mrs Cathleen Mary Dolores Janitschke, 450 Eastvold Ave, Ortonville, MN 56278-1133 Ph: (320) 839-2502 | Mrs Cathleen Mary Dolores Janitschke, 450 Eastvold Ave, Ortonville, MN 56278-1133 Ph: (320) 839-2502 |
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