Nicole Marie Busch, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Littlefork, Minnesota. She went to University Of North Dakota School Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice International Falls Memorial Hospital Association and her current practice location is
912 Main St, Littlefork, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 278-6634.
Nicole Marie Busch is licensed to practice in Minnesota (license number CNP 2635) 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 1669812459.
Provider's Profile
| Full Name | Nicole Marie Busch |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 11 Years |
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| Location | 912 Main St, Littlefork, Minnesota |
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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 Marie Busch attended and graduated from University Of North Dakota School Of Medicine in 2013
NPI Data:
- NPI Number: 1669812459
- Provider Enumeration Date: 06/26/2013
- Last Update Date: 10/06/2015
Medicare PECOS Information:
- PECOS PAC ID: 3476778721
- Enrollment ID: I20140701000531
Medical Identifiers
Medical identifiers for Nicole Marie Busch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669812459 | NPI | - | NPPES |
| R143402-8 | Other | MN | MINNESOTA RN LICENSE NUMBER |
| CNP 2635 | Other | MN | APRN LICENSE NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | CNP 2635 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| International Falls Memorial Hospital Association | 1951365998 | 17 |
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 Marie Busch allows following entities to bill medicare on her behalf.
| Entity Name | International Falls Memorial Hospital Association |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528041183
PECOS PAC ID: 1951365998
Enrollment ID: O20041118000626 |
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| Entity Name | International Falls Memorial Hospital Association |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1528041183
PECOS PAC ID: 1951365998
Enrollment ID: O20061104000465 |
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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 Marie Busch 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 Marie Busch, FNP-BC
912 Main St,
Littlefork, MN 56653-9357
Ph: (218) 278-6634 | Nicole Marie Busch, FNP-BC
912 Main St,
Littlefork, MN 56653-9357
Ph: (218) 278-6634 |
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