Kyle Randall Bruscher, is a medicare enrolled "Nurse Practitioner" physician in Sioux Falls, South Dakota. He graduated from medical school in 2019 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Sanford Medical Center and his current practice location is
1301 W 18th St, Sioux Falls, South Dakota. You can reach out to his office (for appointments etc.) via phone at
(605) 312-2200.
Kyle Randall Bruscher is licensed to practice in Iowa (license number A166919) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1346899846.
Physician's Profile
| Full Name | Kyle Randall Bruscher |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 7 Years |
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| Location | 1301 W 18th St, Sioux Falls, South Dakota |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kyle Randall Bruscher graduated from medical school in 2019
NPI Data:
- NPI Number: 1346899846
- Provider Enumeration Date: 09/06/2019
- Last Update Date: 04/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 3476989351
- Enrollment ID: I20200213000370
Medical Identifiers
Medical identifiers for Kyle Randall Bruscher such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1346899846 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | CP001633 (South Dakota) | Secondary |
| 363L00000X | Nurse Practitioner | A166919 (Iowa) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Sanford Medical Center | 8325950215 | 750 |
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. Kyle Randall Bruscher allows following entities to bill medicare on his behalf.
| Entity Name | Sanford Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396764254 PECOS PAC ID: 0244143824 Enrollment ID: O20031110000532 |
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| Entity Name | Sanford Health Network |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013921733 PECOS PAC ID: 6800707100 Enrollment ID: O20031111000266 |
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| Entity Name | Sanford Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093090342 PECOS PAC ID: 8325950215 Enrollment ID: O20040115000388 |
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| Entity Name | Sanford Health Network |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1831103449 PECOS PAC ID: 6800707100 Enrollment ID: O20070801000802 |
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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. Kyle Randall Bruscher 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 |
Kyle Randall Bruscher, Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () - | Kyle Randall Bruscher, 1301 W 18th St, Sioux Falls, SD 57105-0401 Ph: (605) 312-2200 |
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