Aleesha Marie Deknikker, CNP is a medicare enrolled "Nurse Practitioner - Family" physician in Salem, South Dakota. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Avera Mckennan and her current practice location is
740 S Hill St, Salem, South Dakota. You can reach out to her office (for appointments etc.) via phone at
(605) 425-2855.
Aleesha Marie Deknikker is licensed to practice in South Dakota (license number CP001751) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1720608417.
Physician's Profile
| Full Name | Aleesha Marie Deknikker |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 740 S Hill St, Salem, South Dakota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Aleesha Marie Deknikker graduated from medical school in 2019
NPI Data:
- NPI Number: 1720608417
- Provider Enumeration Date: 04/22/2020
- Last Update Date: 11/08/2022
Medicare PECOS Information:
- PECOS PAC ID: 3072936442
- Enrollment ID: I20200702001247
Medical Identifiers
Medical identifiers for Aleesha Marie Deknikker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1720608417 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | CP001751 (South Dakota) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | CP001751 (South Dakota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Avera Mckennan | 0345157103 | 833 |
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. Aleesha Marie Deknikker allows following entities to bill medicare on her behalf.
| Entity Name | Avera Mckennan |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003389206
PECOS PAC ID: 0345157103
Enrollment ID: O20031110000117 |
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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. Aleesha Marie Deknikker 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 |
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Aleesha Marie Deknikker, CNP
1112 S Lake Ave, Ste 201,
Sioux Falls, SD 57105
Ph: (605) 333-1000 | Aleesha Marie Deknikker, CNP
740 S Hill St,
Salem, SD 57058-8760
Ph: (605) 425-2855 |
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