Katie L Prucha, APNP in Oshkosh, WI - Medicare Nurse Practitioner

Katie L Prucha, APNP is a medicare enrolled "Nurse Practitioner - Family" in Oshkosh, Wisconsin. Her current practice location is 1855 S Koeller St, Oshkosh, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 223-7010.

Katie L Prucha is licensed to practice in Wisconsin (license number 5980-33) 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 1376943803.

Contact Information

	Katie L Prucha, APNP
	1855 S Koeller St, Oshkosh, WI 54902-6186
	(920) 223-7010
	Not Available

Map and Direction

Provider's Profile

Full Name	Katie L Prucha
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1855 S Koeller St, Oshkosh, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376943803
Provider Enumeration Date: 09/03/2014
Last Update Date: 02/10/2023

Medicare PECOS Information:

PECOS PAC ID: 2365661337
Enrollment ID: I20140924001552

Medical Identifiers

Medical identifiers for Katie L Prucha such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376943803	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	174355 (Wisconsin)	Secondary
363LF0000X	Nurse Practitioner - Family	5980-33 (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. Katie L Prucha allows following entities to bill medicare on her behalf.

Entity Name	Columbia St Marys Hospital Milwaukee Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023064482 PECOS PAC ID: 5890604722 Enrollment ID: O20031105000057

Entity Name	Ascension Medical Group-fox Valley Wisconsin Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730126392 PECOS PAC ID: 0244142420 Enrollment ID: O20031105000351

Entity Name	Prevea Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306869276 PECOS PAC ID: 0042123150 Enrollment ID: O20031106000034

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. Katie L Prucha 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
Katie L Prucha, APNP W165n5595 Creekwood Xing, Menomonee Falls, WI 53051-0685 Ph: (262) 252-1050	Katie L Prucha, APNP 1855 S Koeller St, Oshkosh, WI 54902-6186 Ph: (920) 223-7010

Reviews and Comments

Nurse Practitioner Nurses in Oshkosh, WI

Jacqueline Ann Ots, PENDING Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-303-8700
Angela Lemerande, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 515 S Washburn St Ste 200, Oshkosh, WI 54904 Phone: 920-969-1768 Fax: 920-267-5222
Ms. Joyce E Abbott, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 414 Doctors Ct, Oshkosh, WI 54901 Phone: 920-303-5100 Fax: 920-303-5150
Xing Kong, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-303-8700 Fax: 920-303-8827
Mrs. Jennifer Mladucky, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2700 W 9th Ave, Suite 11, Oshkosh, WI 54904 Phone: 920-236-1555
Sandralee S Quade, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1855 S Koeller St, Oshkosh, WI 54902 Phone: 920-223-7100
Lindsay R Locklar, CNM Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-456-7300

Katie L Prucha, APNP - Medicare Nurse Practitioner in Oshkosh, WI