Nicole Lynn Bamberg, CNP is a medicare enrolled "Nurse Practitioner" in Corsica, South Dakota. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Fort Thompson Indian Health Service and her current practice location is
265 E Main St, Corsica, South Dakota. You can reach out to her office (for appointments etc.) via phone at
(605) 946-5959.
Nicole Lynn Bamberg is licensed to practice in South Dakota (license number CP001381) 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 1043702244.
Provider's Profile
| Full Name | Nicole Lynn Bamberg |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 265 E Main St, Corsica, South Dakota |
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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:
- Nicole Lynn Bamberg graduated from nursing school in 2018
NPI Data:
- NPI Number: 1043702244
- Provider Enumeration Date: 06/04/2018
- Last Update Date: 06/04/2018
Medicare PECOS Information:
- PECOS PAC ID: 7012265952
- Enrollment ID: I20200220001792
Medical Identifiers
Medical identifiers for Nicole Lynn Bamberg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1043702244 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | CP001381 (South Dakota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Fort Thompson Indian Health Service | 9739080896 | 8 |
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. Nicole Lynn Bamberg allows following entities to bill medicare on her behalf.
| Entity Name | Fort Thompson Indian Health Service |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710995907
PECOS PAC ID: 9739080896
Enrollment ID: O20040120000889 |
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| Entity Name | Wanblee Indian Health Service |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962559518
PECOS PAC ID: 4688654130
Enrollment ID: O20040723000965 |
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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. Nicole Lynn Bamberg 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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Nicole Lynn Bamberg, CNP
708 8th St,
Armour, SD 57313-2102
Ph: (605) 724-2159 | Nicole Lynn Bamberg, CNP
265 E Main St,
Corsica, SD 57328
Ph: (605) 946-5959 |
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