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

Mr Kipp Edward Rustenholtz, PA-C is a medicare enrolled "Physician Assistant" in Okemos, Michigan. He graduated from nursing school in 2008 and has 16 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 1881 W Grand River Ave, Okemos, Michigan. You can reach out to his office (for appointments etc.) via phone at (517) 339-2100.

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
	1881 W Grand River Ave, Okemos, MI 48864-1840
	(517) 339-2100
	(517) 339-4620

Map and Direction

Provider's Profile

Full Name	Mr Kipp Edward Rustenholtz
Gender	Male
Speciality	Physician Assistant
Experience	16 Years
Location	1881 W Grand River Ave, Okemos, Michigan
Accepts Medicare Assignments	Yes. 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: 01/10/2018

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.

Identifier	Type	State	Issuer
1114193356	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Joseph Mercy Hospital	Ann arbor, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Iha Health Services Corporation	2466351440	911

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 Address	Practice 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 1881 W Grand River Ave, Okemos, MI 48864-1840 Ph: (517) 339-2100

Reviews and Comments

Physician Assistant Nurses in Okemos, MI

Susan Hope Dundas, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2395 Jolly Rd Ste 160, Okemos, MI 48864 Phone: 517-301-5011 Fax: 517-879-4889
Elizabeth A Brannick, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1881 W Grand River Ave, Okemos, MI 48864 Phone: 517-339-2100
Rhyan Pensa, PA - C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2090 Jolly Rd Ste 150, Okemos, MI 48864 Phone: 517-349-3900
Mr. Lance Ian Kortesoja, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2446 Jolly Rd Ste B, Okemos, MI 48864 Phone: 734-748-1899
Michelle Gormas, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2422 Jolly Rd Ste 100, Okemos, MI 48864 Phone: 517-618-9507
Paige E Wiegel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1600 W Grand River Ave Ste 4, Okemos, MI 48864 Phone: 517-381-6880 Fax: 517-381-6881

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