Lisa M Ducommun, CNP | |
300 Sioux Valley Dr, Cherokee, IA 51012-1205 | |
(712) 225-6265 | |
(712) 225-6800 |
Full Name | Lisa M Ducommun |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 18 Years |
Location | 300 Sioux Valley Dr, Cherokee, Iowa |
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 |
---|---|---|---|
1023105616 | NPI | - | NPPES |
A-097930 | Other | IA | IOWA LICENSE |
0560631 | Medicaid | IA | |
27781 | Other | IA | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
364S00000X | Clinical Nurse Specialist | A-097930 (Iowa) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cherokee Regional Medical Center - Home Choice | Cherokee, IA | Home health agency |
Cherokee Regional Medical Center Hospice | Cherokee, IA | Hospice |
Cherokee Regional Medical Center | Cherokee, IA | Hospital |
St Lukes Regional Medical Center | Sioux city, IA | Hospital |
Buena Vista Regional Medical Center | Storm lake, IA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Baum Harmon Mercy Hospital | 0446154033 | 7 |
Sioux Valley Memorial Hospital Association | 4880501881 | 19 |
Entity Name | Baum Harmon Mercy Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760426431 PECOS PAC ID: 0446154033 Enrollment ID: O20031125000360 |
Entity Name | Sioux Valley Memorial Hospital Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083610190 PECOS PAC ID: 4880501881 Enrollment ID: O20040317001463 |
Mailing Address | Practice Location Address |
---|---|
Lisa M Ducommun, CNP 300 Sioux Valley Dr, Cherokee, IA 51012-1205 Ph: (712) 225-6265 | Lisa M Ducommun, CNP 300 Sioux Valley Dr, Cherokee, IA 51012-1205 Ph: (712) 225-6265 |
Mrs. Janne L Johnson, ARNP Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 1251 W Cedar Loop, Cherokee, IA 51012 Phone: 712-225-2594 Fax: 712-225-6933 |