Agnieszka Dendura, - Medicare Nurse Practitioner in Tomah, WI

Agnieszka Dendura, is a medicare enrolled "Nurse Practitioner" in Tomah, Wisconsin. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mile Bluff Medical Center Inc and her current practice location is 501 Gopher Dr, Tomah, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 371-2181.

Agnieszka Dendura is licensed to practice in Wisconsin (license number 9811-33) 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 1164057717.

Contact Information

Agnieszka Dendura,
501 Gopher Dr,
Tomah, WI 54660-4513
(608) 371-2181
Not Available

Map and Direction




Provider's Profile

Full NameAgnieszka Dendura
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location501 Gopher Dr, Tomah, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Agnieszka Dendura graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1164057717
  • Provider Enumeration Date: 03/04/2020
  • Last Update Date: 01/14/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7911336995
  • Enrollment ID: I20200327000447

Medical Identifiers

Medical identifiers for Agnieszka Dendura such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164057717NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 9811-33 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mile Bluff Medical CenterMauston, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mile Bluff Medical Center Inc852797139972

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. Agnieszka Dendura allows following entities to bill medicare on her behalf.
Entity NameMile Bluff Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609912005
PECOS PAC ID: 8527971399
Enrollment ID: O20031205000618
Entity NameTomah Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992970453
PECOS PAC ID: 6901897016
Enrollment ID: O20040519000123

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. Agnieszka Dendura 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 AddressPractice Location Address
Agnieszka Dendura,
501 Gopher Dr,
Tomah, WI 54660-4513

Ph: () -
Agnieszka Dendura,
501 Gopher Dr,
Tomah, WI 54660-4513

Ph: (608) 371-2181

Reviews and Comments


Nurse Practitioner Nurses in Tomah, WI

Evelyn Williams Bragg, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 500 E Veterans St, Tomah, WI 54660
Phone: 608-372-3971    
Ryanne Inglett,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 501 Gopher Dr, Tomah, WI 54660
Phone: 608-372-2181    
Mr. Daniel Hannan, PMHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 500 E Veterans St, Tomah, WI 54660
Phone: 608-372-3971    
Sarah J Rezin, APNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 500 E Veterans St, Tomah, WI 54660
Phone: 608-372-3971    Fax: 608-372-1240
Amy Pollack, APNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 500 E Veterans St, Tomah, WI 54660
Phone: 608-372-3971    
Kayla J Gilman, DNP, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 505 Gopher Dr, Tomah, WI 54660
Phone: 608-372-4111    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.