Amy Pollack, APNP - Medicare Nurse Practitioner in Tomah, WI

Amy Pollack, APNP is a medicare enrolled "Nurse Practitioner - Family" in Tomah, Wisconsin. Her current practice location is 500 E Veterans St, Tomah, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 372-3971.

Amy Pollack is licensed to practice in Wisconsin (license number 6760-33) 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 1154786127.

Contact Information

Amy Pollack, APNP
500 E Veterans St,
Tomah, WI 54660-3105
(608) 372-3971
Not Available



Provider's Profile

Full NameAmy Pollack
GenderFemale
SpecialityNurse Practitioner - Family
Location500 E Veterans St, Tomah, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154786127
  • Provider Enumeration Date: 12/17/2015
  • Last Update Date: 12/17/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 9638439888
  • Enrollment ID: I20180207001751

Medical Identifiers

Medical identifiers for Amy Pollack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154786127NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 6760-33 (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. Amy Pollack allows following entities to bill medicare on her behalf.
Entity NameTomah Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992970453
PECOS PAC ID: 6901897016
Enrollment ID: O20040519000123

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Entity NameTomah Memorial Hospital Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1184765240
PECOS PAC ID: 6901897016
Enrollment ID: O20101120000172

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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. Amy Pollack 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
Amy Pollack, APNP
21997 Clay Ave,
Warrens, WI 54666-8545

Ph: (608) 387-9028
Amy Pollack, APNP
500 E Veterans St,
Tomah, WI 54660-3105

Ph: (608) 372-3971

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The biggest killer of women over the age of 50 is heart disease. By age 65 women have the same heart attack or stroke risk as men and a greater risk of dying from either. To help better predict heart attack risk in these women, Atherotech Diagnostics Lab has developed a new and better way to test for heart disease risk. The new test will soon be available exclusively through Atherotech Diagnostics Lab.

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› Verified 1 days ago


Nurse Practitioner Nurses in Tomah, WI

Evelyn Williams Bragg, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 500 E Veterans St, Tomah, WI 54660
Phone: 608-372-3971    
Ryanne Inglett,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 501 Gopher Dr, Tomah, WI 54660
Phone: 608-372-2181    
Mr. Daniel Hannan, PMHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 500 E Veterans St, Tomah, WI 54660
Phone: 608-372-3971    
Sarah J Rezin, APNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 500 E Veterans St, Tomah, WI 54660
Phone: 608-372-3971    Fax: 608-372-1240
Kayla J Gilman, DNP, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 505 Gopher Dr, Tomah, WI 54660
Phone: 608-372-4111    
Agnieszka Dendura,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 501 Gopher Dr, Tomah, WI 54660
Phone: 608-371-2181    

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