Dr Brian Kiesnowski, MD - Medicare Plastic And Reconstructive Surgery in Appleton, WI

Dr Brian Kiesnowski, MD is a medicare enrolled "Plastic Surgery" physician in Appleton, Wisconsin. He went to Rush Medical College Of Rush University and graduated in 1992 and has 32 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice Appleton Plastic Surgery Center, Sc and his current practice location is 5605 Waterford Ln, Appleton, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 738-7200.

Dr Brian Kiesnowski is licensed to practice in Wisconsin (license number 41995-020) 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 1285607317.

Contact Information

Dr Brian Kiesnowski, MD
5605 Waterford Ln,
Appleton, WI 54913-8438
(920) 738-7200
(920) 738-1906



Physician's Profile

Full NameDr Brian Kiesnowski
GenderMale
SpecialityPlastic And Reconstructive Surgery
Experience32 Years
Location5605 Waterford Ln, Appleton, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Brian Kiesnowski attended and graduated from Rush Medical College Of Rush University in 1992
  NPI Data:
  • NPI Number: 1285607317
  • Provider Enumeration Date: 02/09/2006
  • Last Update Date: 11/19/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 3678554292
  • Enrollment ID: I20040528000118

Medical Identifiers

Medical identifiers for Dr Brian Kiesnowski such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285607317NPI-NPPES
32627900MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208200000XPlastic Surgery 41995-020 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension Ne Wisconsin - St Elizabeth CampusAppleton, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Appleton Plastic Surgery Center, Sc30725532052

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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. Dr Brian Kiesnowski allows following entities to bill medicare on his behalf.
Entity NameAppleton Plastic Surgery Center, Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235246869
PECOS PAC ID: 3072553205
Enrollment ID: O20050506000697

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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. Dr Brian Kiesnowski 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 AddressPractice Location Address
Dr Brian Kiesnowski, MD
5605 Waterford Ln,
Appleton, WI 54913-8438

Ph: (920) 738-7200
Dr Brian Kiesnowski, MD
5605 Waterford Ln,
Appleton, WI 54913-8438

Ph: (920) 738-7200

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Plastic Surgery Doctors in Appleton, WI


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