Nickolas Rukamp, PA-C in Pewaukee, WI - Medicare Physician Assistant

Nickolas Rukamp, PA-C is a medicare enrolled "Physician Assistant - Medical" in Pewaukee, Wisconsin. His current practice location is N15w28300 Golf Rd, Pewaukee, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 303-5055.

Nickolas Rukamp is licensed to practice in Wisconsin (license number 3493-23) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1144613811.

Contact Information

	Nickolas Rukamp, PA-C
	N15w28300 Golf Rd, Pewaukee, WI 53072-4800
	(262) 303-5055
	(262) 303-5057

Map and Direction

Provider's Profile

Full Name	Nickolas Rukamp
Gender	Male
Speciality	Physician Assistant - Medical
Location	N15w28300 Golf Rd, Pewaukee, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144613811
Provider Enumeration Date: 03/05/2015
Last Update Date: 12/21/2023

Medicare PECOS Information:

PECOS PAC ID: 0042537789
Enrollment ID: I20150318000390

Medical Identifiers

Medical identifiers for Nickolas Rukamp such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144613811	NPI	-	NPPES
100043122	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	3493-23 (Wisconsin)	Primary

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. Nickolas Rukamp 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
Nickolas Rukamp, PA-C 6400 Industrial Loop, Greendale, WI 53129-2452 Ph: (414) 858-4106	Nickolas Rukamp, PA-C N15w28300 Golf Rd, Pewaukee, WI 53072-4800 Ph: (262) 303-5055

Reviews and Comments

Physician Assistant Nurses in Pewaukee, WI

Ryan Martin Lawrence, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: N15w28300 Golf Rd, Pewaukee, WI 53072 Phone: 262-303-5055 Fax: 262-303-5057
Mr. James C Bell, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: N15w28300 Golf Rd, Pewaukee, WI 53072 Phone: 262-544-5311 Fax: 262-544-6820
Ryan Hamm, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: N15w28300 Golf Rd, Pewaukee, WI 53072 Phone: 262-544-5311 Fax: 262-544-6820
Julie Skrypchak, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: N15w28300 Golf Rd, Pewaukee, WI 53072 Phone: 262-303-5055
Adam C Grimm, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: N15w28300 Golf Rd, Pewaukee, WI 53072 Phone: 262-303-5055 Fax: 262-303-5057
Sara L Stoddard, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: N15w28300 Golf Rd, Pewaukee, WI 53072 Phone: 262-303-5055 Fax: 262-303-5057

Nickolas Rukamp, PA-C - Medicare Physician Assistant in Pewaukee, WI