Amanda Rusch, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Sobieski, Wisconsin. Her current practice location is
551 Kroll Rd, Sobieski, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 609-5696.
Amanda Rusch is licensed to practice in Wisconsin (license number 13740-33) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1114629359.
Provider's Profile
| Full Name | Amanda Rusch |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 551 Kroll Rd, Sobieski, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1114629359
- Provider Enumeration Date: 03/21/2023
- Last Update Date: 03/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 7618339011
- Enrollment ID: I20230817000478
Medical Identifiers
Medical identifiers for Amanda Rusch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1114629359 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 13740-33 (Wisconsin) | Primary |
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. Amanda Rusch allows following entities to bill medicare on her behalf.
| Entity Name | Signify Health Medical Associates Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191118000551 |
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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. Amanda Rusch 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 |
Amanda Rusch, FNP-C 551 Kroll Rd, Sobieski, WI 54171-9734 Ph: (920) 609-5696 | Amanda Rusch, FNP-C 551 Kroll Rd, Sobieski, WI 54171-9734 Ph: (920) 609-5696 |
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