Amanda Sue Molback, NP - Medicare Nurse Practitioner in Menomonie, WI

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Amanda Sue Molback, NP is a medicare enrolled "Nurse Practitioner" in Menomonie, Wisconsin. She graduated from nursing school in 2012 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mayo Clinic Health System-northwest Wisconsin Region Inc and her current practice location is 2321 Stout Rd, Menomonie, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 235-5531.

Amanda Sue Molback is licensed to practice in Wisconsin (license number 4987-33) 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 1083963219.

Contact Information

Amanda Sue Molback, NP
2321 Stout Rd,
Menomonie, WI 54751-7003
(715) 235-5531
(715) 233-7645

Map and Direction




Provider's Profile

Full NameAmanda Sue Molback
GenderFemale
SpecialityNurse Practitioner
Experience13 Years
Location2321 Stout Rd, Menomonie, 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:
  • Amanda Sue Molback graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1083963219
  • Provider Enumeration Date: 09/04/2012
  • Last Update Date: 02/16/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2062666357
  • Enrollment ID: I20130214000430

Medical Identifiers

Medical identifiers for Amanda Sue Molback such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083963219NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 4987-33 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mayo Clinic Health System-red Cedar IncMenomonie, WIHospital
Mayo Clinic Health System Eau Claire HospitalEau claire, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mayo Clinic Health System-northwest Wisconsin Region Inc4385553627707

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 Sue Molback allows following entities to bill medicare on her behalf.
Entity NameMayo Clinic Health System-northwest Wisconsin Region Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235588831
PECOS PAC ID: 4385553627
Enrollment ID: O20161109002075
Entity NameMayo Clinic Health System-northwest Wisconsin Region Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1154372944
PECOS PAC ID: 4385553627
Enrollment ID: O20171012000001

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 Sue Molback 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
Amanda Sue Molback, NP
200 1st St Sw,
Rochester, MN 55905-0002

Ph: (715) 838-5222		Amanda Sue Molback, NP
2321 Stout Rd,
Menomonie, WI 54751-7003

Ph: (715) 235-5531

Reviews and Comments


Nurse Practitioner Nurses in Menomonie, WI

Kristin L. Rubenzer, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2919 Stout Rd, Menomonie, WI 54751
Phone: 715-309-4451    
Kalie R Townsend, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2321 Stout Rd, Menomonie, WI 54751
Phone: 715-838-5222    
Christine E. Morgan, F.N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2321 Stout Rd, Menomonie, WI 54751
Phone: 715-233-7777    
Julie Wiensch, APNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 800 Wilson Ave, Menomonie, WI 54751
Phone: 715-232-2388    Fax: 715-232-1132
Julie Locke, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2321 Stout Rd, Menomonie, WI 54751
Phone: 715-235-5531    
Dana Katherine Bessen, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2919 Stout Rd, Menomonie, WI 54751
Phone: 715-997-3966    

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.