BERNADETTE T SKRUCK PA
NPI 1063738722
Physician Assistant - Surgical in Augusta, GA

Q: What is Bernadette Skruck's NPI number?

The NPI number for Bernadette Skruck is 1063738722. It was assigned to this individual provider in the NPPES registry on April 20, 2010.

Q: What is Bernadette Skruck's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Bernadette Skruck was last updated on January 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 20, 2010PECOS EnrolledAccepts Medicare Assignment

1348 WALTON WAY STE 5700, AUGUSTA, GA 30901(706) 722-8242(706) 722-8351 Get Directions Write a Review

NPPES record last updated: January 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 1, 2019, Sep 4, 2019 (2 updates tracked since 2019).

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About Bernadette T Skruck Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BERNADETTE T SKRUCK PA (NPI 1063738722) is an individual surgical provider in Augusta, Georgia, licensed in Georgia (6394) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS, is affiliated with Piedmont Augusta Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1063738722

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameBERNADETTE T SKRUCKCredential: PA

Location Address1348 WALTON WAY STE 5700Augusta, GA 30901-5110

Mailing Address2405 Persimmon RdAugusta, GA 30904-3354 · (312) 927-6634

Phone(706) 722-8242

Fax(706) 722-8351

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateApril 20, 2010

Last NPPES UpdateJanuary 15, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 15, 2025

✔ NPI 1063738722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in GA · 6394

1348 WALTON WAY STE 5700, Augusta, GA 30901

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bernadette T Skruck Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517141625

PECOS Enrollment IDI20120521000583

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Piedmont Augusta Hospital

Acute Care Hospitals · Augusta, GA

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110028

Location1350 Walton WayAugusta, GA 30901 · Richmond County

Emergency services Birthing friendly

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Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ABIGAIL JORDAN SAXON

Physician Assistant