Amanda Rusch, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Sobieski, Wisconsin. Her current practice location is
551 Kroll Rd, Sobieski, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 609-5696.
Amanda Rusch is licensed to practice in Wisconsin (license number 13740-33) 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 1114629359.
Provider's Profile
Full Name | Amanda Rusch |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 551 Kroll Rd, Sobieski, Wisconsin |
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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: 1114629359
- Provider Enumeration Date: 03/21/2023
- Last Update Date: 03/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 7618339011
- Enrollment ID: I20230817000478
Medical Identifiers
Medical identifiers for Amanda Rusch such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114629359 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 13740-33 (Wisconsin) | 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. Amanda Rusch allows following entities to bill medicare on her behalf.
Entity Name | Signify Health Medical Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191118000551 |
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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. Amanda Rusch 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 |
Amanda Rusch, FNP-C 551 Kroll Rd, Sobieski, WI 54171-9734 Ph: (920) 609-5696 | Amanda Rusch, FNP-C 551 Kroll Rd, Sobieski, WI 54171-9734 Ph: (920) 609-5696 |
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