Amy Pollack, APNP - Medicare Nurse Practitioner in Tomah, WI

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Amy Pollack, APNP is a medicare enrolled "Nurse Practitioner - Family" in Tomah, Wisconsin. Her current practice location is 500 E Veterans St, Tomah, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 372-3971.

Amy Pollack is licensed to practice in Wisconsin (license number 6760-33) 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 1154786127.

Contact Information

Amy Pollack, APNP
500 E Veterans St,
Tomah, WI 54660-3105
(608) 372-3971
Not Available

Map and Direction




Provider's Profile

Full NameAmy Pollack
GenderFemale
SpecialityNurse Practitioner - Family
Location500 E Veterans St, Tomah, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154786127
  • Provider Enumeration Date: 12/17/2015
  • Last Update Date: 12/17/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 9638439888
  • Enrollment ID: I20180207001751

Medical Identifiers

Medical identifiers for Amy Pollack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154786127NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 6760-33 (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. Amy Pollack allows following entities to bill medicare on her behalf.
Entity NameTomah Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992970453
PECOS PAC ID: 6901897016
Enrollment ID: O20040519000123
Entity NameTomah Memorial Hospital Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1184765240
PECOS PAC ID: 6901897016
Enrollment ID: O20101120000172

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. Amy Pollack 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
Amy Pollack, APNP
21997 Clay Ave,
Warrens, WI 54666-8545

Ph: (608) 387-9028		Amy Pollack, APNP
500 E Veterans St,
Tomah, WI 54660-3105

Ph: (608) 372-3971

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    
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
Mary Mackenzie Lane-peot, DNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 501 Gopher Dr, Tomah, WI 54660
Phone: 608-372-2181    
Kayla J Gilman, DNP, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 505 Gopher Dr, Tomah, WI 54660
Phone: 608-372-4111    
Agnieszka Dendura,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 501 Gopher Dr, Tomah, WI 54660
Phone: 608-371-2181    

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.