Ms Peggy Jo Schuelke, RN, MS, CNP is a medicare enrolled "Nurse Practitioner - Family" in Revillo, South Dakota. Her current practice location is
103 E. Third Street, Revillo, South Dakota. You can reach out to her office (for appointments etc.) via phone at
(605) 623-4695.
Ms Peggy Jo Schuelke is licensed to practice in South Dakota (license number CP000126) 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 1134299100.
Provider's Profile
| Full Name | Ms Peggy Jo Schuelke |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 103 E. Third Street, Revillo, South Dakota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1134299100
- Provider Enumeration Date: 11/08/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 8527087402
- Enrollment ID: I20051121000646
Medical Identifiers
Medical identifiers for Ms Peggy Jo Schuelke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1134299100 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | CP000126 (South Dakota) | 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. Ms Peggy Jo Schuelke allows following entities to bill medicare on her behalf.
| Entity Name | Avera Mckennan |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699009944
PECOS PAC ID: 0345157103
Enrollment ID: O20031110000117 |
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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. Ms Peggy Jo Schuelke 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 |
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Ms Peggy Jo Schuelke, RN, MS, CNP
15754 483rd Ave,
Revillo, SD 57259-6311
Ph: (605) 623-4228 | Ms Peggy Jo Schuelke, RN, MS, CNP
103 E. Third Street,
Revillo, SD 57259
Ph: (605) 623-4695 |
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