Jay S Guikema, FNP | |
100 Lake Traverse Dr, Sisseton, SD 57262-7046 | |
(056) 987-6066 | |
Not Available |
Full Name | Jay S Guikema |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 100 Lake Traverse Dr, Sisseton, 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 |
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1033289319 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363LF0000X | Nurse Practitioner - Family | 4704231245 (Michigan) | Primary |
Entity Name | Woodrow Wilson Keeble Memorial Health Care Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366471666 PECOS PAC ID: 1850295940 Enrollment ID: O20031120000810 |
Mailing Address | Practice Location Address |
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Jay S Guikema, FNP Po Box 150753, Grand Rapids, MI 49515-0753 Ph: () - | Jay S Guikema, FNP 100 Lake Traverse Dr, Sisseton, SD 57262-7046 Ph: (056) 987-6066 |
Faith Ann Phillips, DNP, RNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Lake Traverse Dr, Sisseton, SD 57262 Phone: 605-698-7606 | |
Mr. Robert Michael Keller Jr., ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5 E Chestnut St, Sisseton, SD 57262 Phone: 605-698-7606 | |
Ms. Katherine Joan Mackenzie, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Lake Traverse Dr, Sisseton, SD 57262 Phone: 605-698-7606 | |
Ms. Carmen Maria Redlin, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Lake Traverse Dr, Sisseton, SD 57262 Phone: 605-698-7606 | |
Tina E Evenson, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Lake Traverse Dr, Sisseton, SD 57262 Phone: 605-698-7606 | |
Tenecia Mason, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Lake Traverse Dr, Sisseton, SD 57262 Phone: 605-698-7606 |