Kena D Lackman, MD | |
725 Fair St, Buhl, ID 83316-6442 | |
(208) 543-8271 | |
(208) 543-8272 |
Full Name | Kena D Lackman |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 8 Years |
Location | 725 Fair St, Buhl, Idaho |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427583285 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MRM-1634 (Idaho) | Secondary |
207Q00000X | Family Medicine | M-14465 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Lukes Magic Valley Medical Center | Twin falls, ID | Hospital |
St Luke Community Hospital | Ronan, MT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Family Health Services Corporation | 7012815038 | 44 |
Family Health Services Corporation | 7012815038 | 44 |
Entity Name | St Lukes Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306911169 PECOS PAC ID: 5496659567 Enrollment ID: O20031121000276 |
Entity Name | St Lukes Community Hospital |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1336213446 PECOS PAC ID: 5496659567 Enrollment ID: O20061104000674 |
Mailing Address | Practice Location Address |
---|---|
Kena D Lackman, MD 725 Fair St, Buhl, ID 83316-6442 Ph: () - | Kena D Lackman, MD 725 Fair St, Buhl, ID 83316-6442 Ph: (208) 543-8271 |
Joshua Ted Stringam, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 725 Fair St, Buhl, ID 83316 Phone: 208-543-8271 Fax: 208-543-8272 | |
Lauren Clelland, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 980 Burley Ave, Buhl, ID 83316 Phone: 208-814-8000 |