Misty Buskohl, in Rockford, IL - Medicare Nurse Practitioner

Misty Buskohl, is a medicare enrolled "Nurse Practitioner" in Rockford, Illinois. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ksb Medical Group Inc and her current practice location is 3401 N Perryville Rd, Rockford, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 971-2000.

Misty Buskohl is licensed to practice in Illinois (license number 209022075) 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 1417552092.

Contact Information

	Misty Buskohl,
	3401 N Perryville Rd, Rockford, IL 61114-8011
	(815) 971-2000
	Not Available

Map and Direction

Provider's Profile

Full Name	Misty Buskohl
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	3401 N Perryville Rd, Rockford, Illinois
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:

Misty Buskohl graduated from nursing school in 2020

NPI Data:

NPI Number: 1417552092
Provider Enumeration Date: 12/02/2020
Last Update Date: 12/02/2020

Medicare PECOS Information:

PECOS PAC ID: 0143248047
Enrollment ID: I20201229002749

Medical Identifiers

Medical identifiers for Misty Buskohl such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417552092	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	209022075 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Katherine Shaw Bethea Hospital	Dixon, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ksb Medical Group Inc	7911890009	74

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. Misty Buskohl allows following entities to bill medicare on her behalf.

Entity Name	Rockford Health Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043242886 PECOS PAC ID: 2567374036 Enrollment ID: O20031103000584

Entity Name	Ksb Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073592119 PECOS PAC ID: 7911890009 Enrollment ID: O20040203000860

Entity Name	Katherine Shaw Bethea Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427043546 PECOS PAC ID: 2264480037 Enrollment ID: O20081218000029

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. Misty Buskohl 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
Misty Buskohl, 1932 Philip Dr, Dixon, IL 61021-9232 Ph: (815) 440-7574	Misty Buskohl, 3401 N Perryville Rd, Rockford, IL 61114-8011 Ph: (815) 971-2000

Reviews and Comments

Nurse Practitioner Nurses in Rockford, IL

Misty Lynn Dehaven, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1639 N Alpine Rd Ste 260, Rockford, IL 61107 Phone: 815-395-1500 Fax: 815-395-1415
Candice Vicencio, DNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4215 Newburg Rd, Rockford, IL 61108 Phone: 815-988-8500 Fax: 815-977-5956
Caryn Ann Ruzic, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600 Fax: 815-490-1881
Tyler James Rafferty, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5666 E State St, Rockford, IL 61108 Phone: 815-226-2000
Angela Giardono, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5666 E State St, Rockford, IL 61108 Phone: 815-226-2000
Melissa L. Inman, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 461 N Mulford Rd Ste 3, Rockford, IL 61107 Phone: 815-227-9594 Fax: 815-227-9574
Michelle L Bennett, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3505 N Bell School Rd, Rockford, IL 61114 Phone: 779-696-0300 Fax: 815-639-9433

Misty Buskohl, - Medicare Nurse Practitioner in Rockford, IL