Mr Kipp Edward Rustenholtz, PA-C - Medicare Physician Assistant in Okemos, MI

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Mr Kipp Edward Rustenholtz, PA-C is a medicare enrolled "Physician Assistant" in Okemos, Michigan. He graduated from nursing school in 2008 and has 18 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Iha Health Services Corporation and his current practice location is 3413 Woods Edge, Okemos, Michigan. You can reach out to his office (for appointments etc.) via phone at (517) 349-3303.

Mr Kipp Edward Rustenholtz is licensed to practice in Michigan (license number ) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1114193356.

Contact Information

Mr Kipp Edward Rustenholtz, PA-C
3413 Woods Edge,
Okemos, MI 48864-5901
(517) 349-3303
Not Available

Map and Direction




Provider's Profile

Full NameMr Kipp Edward Rustenholtz
GenderMale
SpecialityPhysician Assistant
Experience18 Years
Location3413 Woods Edge, Okemos, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Kipp Edward Rustenholtz graduated from nursing school in 2008
  NPI Data:
  • NPI Number: 1114193356
  • Provider Enumeration Date: 05/07/2008
  • Last Update Date: 11/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4385705748
  • Enrollment ID: I20081204000441

Medical Identifiers

Medical identifiers for Mr Kipp Edward Rustenholtz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114193356NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Trinity Health Ann Arbor HospitalYpsilanti, MIHospital
Trinity Health Livingston HospitalHowell, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Iha Health Services Corporation24663514401149

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. Mr Kipp Edward Rustenholtz allows following entities to bill medicare on his behalf.
Entity NameIha Health Services Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457408965
PECOS PAC ID: 2466351440
Enrollment ID: O20040108000355
Entity NameLansing Cardiovascular Consultants PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548301880
PECOS PAC ID: 9739143827
Enrollment ID: O20041118000149

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. Mr Kipp Edward Rustenholtz 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
Mr Kipp Edward Rustenholtz, PA-C
1147 Teakwood Cir,
Haslett, MI 48840-9734

Ph: (517) 339-0188		Mr Kipp Edward Rustenholtz, PA-C
3413 Woods Edge,
Okemos, MI 48864-5901

Ph: (517) 349-3303

Reviews and Comments


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Practice Location: 3413 Woods Edge, Okemos, MI 48864
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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.