Renette Lynne Kroupa, PA-C is a medicare enrolled "Physician Assistant - Medical" in Fort Thompson, South Dakota. She graduated from nursing school in 1984 and has 40 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Fort Thompson Indian Health Service and her current practice location is
Hwy 34/47, Fort Thompson, South Dakota. You can reach out to her office (for appointments etc.) via phone at
(605) 245-2285.
Renette Lynne Kroupa is licensed to practice in South Dakota (license number 0155) 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 1760493811.
Provider's Profile
| Full Name | Renette Lynne Kroupa |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 40 Years |
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| Location | Hwy 34/47, Fort Thompson, 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:
- Renette Lynne Kroupa graduated from nursing school in 1984
NPI Data:
- NPI Number: 1760493811
- Provider Enumeration Date: 08/11/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 8527010511
- Enrollment ID: I20100915000761
Medical Identifiers
Medical identifiers for Renette Lynne Kroupa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760493811 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | 0155 (South Dakota) | Primary |
Medical Facilities Affiliation
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 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. Renette Lynne Kroupa 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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Renette Lynne Kroupa, PA-C
36980 239th St,
White Lake, SD 57383-5013
Ph: (605) 249-2525 | Renette Lynne Kroupa, PA-C
Hwy 34/47,
Fort Thompson, SD 57339
Ph: (605) 245-2285 |
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