Kerri Lutjens, CNP | |
401 W Glynn Dr, Parkston, SD 57366-9605 | |
(605) 928-7961 | |
Not Available |
Full Name | Kerri Lutjens |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 401 W Glynn Dr, Parkston, 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 |
---|---|---|---|
1023716792 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | R032678 (South Dakota) | Secondary |
363LF0000X | Nurse Practitioner - Family | CP002728 (South Dakota) | Primary |
Entity Name | St Benedict Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295758266 PECOS PAC ID: 4880507672 Enrollment ID: O20040129001118 |
Entity Name | St Benedict Health Center |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1356443725 PECOS PAC ID: 4880507672 Enrollment ID: O20061104000310 |
Mailing Address | Practice Location Address |
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Kerri Lutjens, CNP 720 W 15th Ave, Mitchell, SD 57301-5507 Ph: (605) 770-2375 | Kerri Lutjens, CNP 401 W Glynn Dr, Parkston, SD 57366-9605 Ph: (605) 928-7961 |
Mariah Lee Suess, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 401 W Glynn Dr, Parkston, SD 57366 Phone: 605-928-3311 Fax: 605-928-7368 | |
Vicki Lubbers, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 W Glynn Dr, Parkston, SD 57366 Phone: 605-928-3311 Fax: 605-928-7368 | |
Lindsay Rae Weber, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 W Glynn Dr, Parkston, SD 57366 Phone: 605-928-3311 Fax: 605-928-7368 |