Mrs Shelly Rae Buch, FNP is a medicare enrolled "Nurse Practitioner - Family" in Florence, Wisconsin. She graduated from nursing school in 2007 and has 17 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Forest County Potawatomi Community and her current practice location is
1010 Olive Ave, Florence, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 528-4775.
Mrs Shelly Rae Buch is licensed to practice in Wisconsin (license number 4575-033) 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 1114106184.
Provider's Profile
| Full Name | Mrs Shelly Rae Buch |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 17 Years |
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| Location | 1010 Olive Ave, Florence, Wisconsin |
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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. |
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Medical Education and Training:
- Mrs Shelly Rae Buch graduated from nursing school in 2007
NPI Data:
- NPI Number: 1114106184
- Provider Enumeration Date: 10/26/2007
- Last Update Date: 12/18/2019
Medicare PECOS Information:
- PECOS PAC ID: 6800940016
- Enrollment ID: I20111119000112
Medical Identifiers
Medical identifiers for Mrs Shelly Rae Buch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114106184 | NPI | - | NPPES |
| NP0063 | Medicaid | AK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 1084 (Alaska) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 4575-033 (Wisconsin) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 4704222854 (Michigan) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Forest County Potawatomi Community | 3375454689 | 15 |
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 Shelly Rae Buch allows following entities to bill medicare on her behalf.
| Entity Name | Forest County Potawatomi Community |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285741306
PECOS PAC ID: 3375454689
Enrollment ID: O20040228000204 |
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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 Shelly Rae Buch 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 |
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Mrs Shelly Rae Buch, FNP
Po Box 549,
Iron Mountain, MI 49801-0549
Ph: (906) 774-1313 | Mrs Shelly Rae Buch, FNP
1010 Olive Ave,
Florence, WI 54121-0380
Ph: (715) 528-4775 |
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