Mrs Elizabeth Cleary Kingstedt, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Champlin, Minnesota. She graduated from nursing school in 2014 and has 11 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Minnesota Anesthesia Specialists Pllc and her current practice location is
11416 Yates Ave N, Champlin, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(360) 356-2730.
Mrs Elizabeth Cleary Kingstedt is licensed to practice in Minnesota (license number R 206981-6) 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 1356744882.
Provider's Profile
| Full Name | Mrs Elizabeth Cleary Kingstedt |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 11 Years |
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| Location | 11416 Yates Ave N, Champlin, Minnesota |
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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. |
Medical Education and Training:
- Mrs Elizabeth Cleary Kingstedt graduated from nursing school in 2014
NPI Data:
- NPI Number: 1356744882
- Provider Enumeration Date: 09/29/2014
- Last Update Date: 12/12/2014
Medicare PECOS Information:
- PECOS PAC ID: 9335563071
- Enrollment ID: I20200728001156
Medical Identifiers
Medical identifiers for Mrs Elizabeth Cleary Kingstedt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1356744882 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 367500000X | Nurse Anesthetist, Certified Registered | R 206981-6 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Minnesota Anesthesia Specialists Pllc | 8426423039 | 9 |
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 Elizabeth Cleary Kingstedt allows following entities to bill medicare on her behalf.
| Entity Name | Metropolitan Anesthesia Network Llp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558314427 PECOS PAC ID: 5698689123 Enrollment ID: O20031118000579 |
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| Entity Name | Anesthesiology, P.a. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013960798 PECOS PAC ID: 9335033034 Enrollment ID: O20040212000459 |
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| Entity Name | Minnesota Anesthesia Specialists Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710693320 PECOS PAC ID: 8426423039 Enrollment ID: O20230413001081 |
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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 Elizabeth Cleary Kingstedt 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 Elizabeth Cleary Kingstedt, CRNA 11416 Yates Ave N, Champlin, MN 55316-2908 Ph: (612) 360-9484 | Mrs Elizabeth Cleary Kingstedt, CRNA 11416 Yates Ave N, Champlin, MN 55316-2908 Ph: (360) 356-2730 |
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