Sara Marie Bruckert, is a
Nurse Practitioner - Psychiatric/mental Health based in Lone Rock, Wisconsin. Sara Marie Bruckert is licensed to practice in Wisconsin (license number 18530-33) and her current practice location is
33505 Old Mill Dr, Lone Rock, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(608) 370-3991.
NPI number for Sara Marie Bruckert is 1578481024 and her current mailing address is Po Box 1, Lone Rock, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1578481024.
Provider's Profile
| Full Name | Sara Marie Bruckert |
|---|
| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 33505 Old Mill Dr, Lone Rock, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1578481024
- Provider Enumeration Date: 07/09/2026
- Last Update Date: 07/09/2026
Medical Identifiers
Medical identifiers for Sara Marie Bruckert such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1578481024 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 18530-33 (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. Sara Marie Bruckert is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Sara Marie Bruckert, Po Box 1, Lone Rock, WI 53556-0001 Ph: () - | Sara Marie Bruckert, 33505 Old Mill Dr, Lone Rock, WI 53556-9179 Ph: (608) 370-3991 |
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