Miss Amber R Koll, PA-C - Medicare Physician Assistant in West Bend, WI

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Miss Amber R Koll, PA-C is a medicare enrolled "Physician Assistant" in West Bend, Wisconsin. She graduated from nursing school in 2015 and has 11 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Aurora Medical Group, Inc., Aurora Advanced Healthcare, Inc. and her current practice location is 205 Valley Ave, West Bend, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 338-1123.

Miss Amber R Koll is licensed to practice in Wisconsin (license number 3662-23) 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 1114394293.

Contact Information

Miss Amber R Koll, PA-C
205 Valley Ave,
West Bend, WI 53095-5312
(262) 338-1123
Not Available

Map and Direction




Provider's Profile

Full NameMiss Amber R Koll
GenderFemale
SpecialityPhysician Assistant
Experience11 Years
Location205 Valley Ave, West Bend, 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:
  • Miss Amber R Koll graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1114394293
  • Provider Enumeration Date: 08/25/2015
  • Last Update Date: 09/09/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8224345632
  • Enrollment ID: I20150917001385

Medical Identifiers

Medical identifiers for Miss Amber R Koll such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114394293NPI-NPPES
100048002MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 3662-23 (Wisconsin)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Aurora Medical Group, Inc.67097942583764
Aurora Advanced Healthcare, Inc.33756258331107

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. Miss Amber R Koll allows following entities to bill medicare on her behalf.
Entity NameAurora Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725
Entity NameAurora Advanced Healthcare, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265629133
PECOS PAC ID: 3375625833
Enrollment ID: O20080123000694

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. Miss Amber R Koll 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
Miss Amber R Koll, PA-C
Po Box 735044,
Chicago, IL 60673-5044

Ph: (800) 326-2250		Miss Amber R Koll, PA-C
205 Valley Ave,
West Bend, WI 53095-5312

Ph: (262) 338-1123

Reviews and Comments


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Practice Location: 1700 W Paradise Dr, West Bend, WI 53095
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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.