Kyle Randall Bruscher, is a medicare enrolled "Nurse Practitioner" physician in Sioux Falls, South Dakota. He graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Sanford Medical Center and his current practice location is
1301 W 18th St, Sioux Falls, South Dakota. You can reach out to his office (for appointments etc.) via phone at
(605) 312-2200.
Kyle Randall Bruscher is licensed to practice in Iowa (license number A166919) 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 1346899846.
Physician's Profile
Full Name | Kyle Randall Bruscher |
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Gender | Male |
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Speciality | Nurse Practitioner |
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Experience | 5 Years |
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Location | 1301 W 18th St, Sioux Falls, South Dakota |
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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:
- Kyle Randall Bruscher graduated from medical school in 2019
NPI Data:
- NPI Number: 1346899846
- Provider Enumeration Date: 09/06/2019
- Last Update Date: 04/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 3476989351
- Enrollment ID: I20200213000370
Medical Identifiers
Medical identifiers for Kyle Randall Bruscher such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346899846 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | CP001633 (South Dakota) | Secondary |
363L00000X | Nurse Practitioner | A166919 (Iowa) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Sanford Medical Center | 8325950215 | 717 |
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. Kyle Randall Bruscher allows following entities to bill medicare on his behalf.
Entity Name | Sanford Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1396764254 PECOS PAC ID: 0244143824 Enrollment ID: O20031110000532 |
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Entity Name | Sanford Health Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1790721280 PECOS PAC ID: 6800707100 Enrollment ID: O20031111000266 |
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Entity Name | Sanford Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1821017880 PECOS PAC ID: 8325950215 Enrollment ID: O20040115000388 |
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Entity Name | Sanford Health Network |
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Entity Type | Part A Provider - Critical Access Hospital |
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Entity Identifiers | NPI Number: 1831103449 PECOS PAC ID: 6800707100 Enrollment ID: O20070801000802 |
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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. Kyle Randall Bruscher 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 |
Kyle Randall Bruscher, Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () - | Kyle Randall Bruscher, 1301 W 18th St, Sioux Falls, SD 57105-0401 Ph: (605) 312-2200 |
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