Bailey Jo Keckler, | |
24337 Us Highway 212, Eagle Butte, SD 57625-7770 | |
(605) 964-8000 | |
Not Available |
Full Name | Bailey Jo Keckler |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 24337 Us Highway 212, Eagle Butte, South Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235600404 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | R047564 (South Dakota) | Secondary |
363LF0000X | Nurse Practitioner - Family | CP002540 (South Dakota) | Primary |
Entity Name | Horizon Health Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356459382 PECOS PAC ID: 8921997933 Enrollment ID: O20040315000974 |
Mailing Address | Practice Location Address |
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Bailey Jo Keckler, Po Box 860, Eagle Butte, SD 57625-0860 Ph: (605) 295-3497 | Bailey Jo Keckler, 24337 Us Highway 212, Eagle Butte, SD 57625-7770 Ph: (605) 964-8000 |
Carla Ann Schweitzer, CN P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8000 E Hwy 212, Eagle Butte, SD 57625 Phone: 605-964-8000 Fax: 605-964-1118 | |
Mrs. Kathleeen Kae Zambo, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24276 Airport Road, Eagle Butte, SD 57625 Phone: 605-964-7724 Fax: 605-964-1110 | |
Susan F Baker, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Ihs Main Street, Eagle Butte, SD 57625 Phone: 605-964-3004 Fax: 605-964-1110 | |
Matthew Raymond Blumer, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24276 166th St. Airport Road, Eagle Butte, SD 57625 Phone: 605-964-7724 | |
Deleen Jean Kougl, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 315 Main Street, Eagle Butte, SD 57625 Phone: 605-964-7700 Fax: 605-964-7701 | |
Amanda Wortman, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24276 166th St, Airport Rd, Eagle Butte, SD 57625 Phone: 605-964-7724 |