Dale R Rustad, MD - Medicare Pediatrics in De Pere, WI

Dale R Rustad, MD is a medicare enrolled "Pediatrics" physician in De Pere, Wisconsin. His current practice location is 3860 Monroe Rd, De Pere, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 496-4700.

Dale R Rustad is licensed to practice in Wisconsin (license number 35465) 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 1780617720.

Contact Information

Dale R Rustad, MD
3860 Monroe Rd,
De Pere, WI 54115-8399
(920) 496-4700
(920) 431-1970



Physician's Profile

Full NameDale R Rustad
GenderMale
SpecialityPediatrics
Location3860 Monroe Rd, De Pere, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780617720
  • Provider Enumeration Date: 07/09/2006
  • Last Update Date: 08/13/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 2264516947
  • Enrollment ID: I20080220000449

Medical Identifiers

Medical identifiers for Dale R Rustad such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780617720NPI-NPPES
32064000MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 35465 (Wisconsin)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. Dale R Rustad allows following entities to bill medicare on his behalf.
Entity NamePrevea Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306869276
PECOS PAC ID: 0042123150
Enrollment ID: O20031106000034

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Entity NameSt Vincent Hospital-hospital Sisters-third Order Of St Francis
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285613638
PECOS PAC ID: 5799694675
Enrollment ID: O20080620000423

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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. Dale R Rustad 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
Dale R Rustad, MD
Po Box 19070, Prevea Health,
Green Bay, WI 54307-9070

Ph: (920) 496-4700
Dale R Rustad, MD
3860 Monroe Rd,
De Pere, WI 54115-8399

Ph: (920) 496-4700

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According to a latest study many medical devices recalled in recent years by the Food and Drug Administration (FDA) because they posed a high risk to patients were not rigorously studied before being approved for patient use. The study, appearing on the web site of The Archives of Internal Medicine, said that most medical devices that were the subject of high-risk recalls from 2005 to 2009 had been cleared through a regulatory pathway with little testing. This included external heart defibrillators, hospital infusion pumps and mechanical ventilators.

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Pediatrics Doctors in De Pere, WI

Dr. Rose M Cipres-jaucian, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1723 Spring Hills Ln, De Pere, WI 54115
Phone: 920-403-7982    
Dr. Laura Jean Gallistel, D.O.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 555 Redbird Cir Ste 200, De Pere, WI 54115
Phone: 920-338-6820    
Yoloxochitl Diaz, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1881 Chicago St, De Pere, WI 54115
Phone: 920-403-8000    
Dr. Douglas Randal Zabrowski, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 555 Redbird Cir, De Pere, WI 54115
Phone: 920-969-5353    Fax: 414-337-7201
Matthew R. Theado, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 555 Redbird Cir, Suite 200, De Pere, WI 54115
Phone: 920-338-6820    Fax: 920-338-6829
Dr. Caitlin Quinn Barr, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 555 Redbird Cir, De Pere, WI 54115
Phone: 920-338-6820    Fax: 920-338-6829
Rachael Marie Ellis, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 555 Redbird Cir, De Pere, WI 54115
Phone: 920-338-6820    Fax: 920-338-6829

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