Lucas William Burkhardt, FNP-BC | |
3948 Central Ave, Shadyside, OH 43947-1310 | |
(740) 325-1313 | |
Not Available |
Full Name | Lucas William Burkhardt |
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Gender | Male |
Speciality | Nurse Practitioner |
Location | 3948 Central Ave, Shadyside, Ohio |
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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1144734781 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363L00000X | Nurse Practitioner | APRN.CNP.022040 (Ohio) | Primary |
Entity Name | Shadyside Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093183204 PECOS PAC ID: 9335438423 Enrollment ID: O20160512001168 |
Mailing Address | Practice Location Address |
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Lucas William Burkhardt, FNP-BC 569 W 43rd St, Shadyside, OH 43947-1026 Ph: () - | Lucas William Burkhardt, FNP-BC 3948 Central Ave, Shadyside, OH 43947-1310 Ph: (740) 325-1313 |
Mrs. Sheryl Lynn Miller, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4000 Central Avenue, Shadyside Health Center, Shadyside, OH 43947 Phone: 740-671-9357 Fax: 740-671-9739 | |
Mrs. Kathleen Ann Krupa, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4355 Monroe St, Shadyside, OH 43947 Phone: 740-676-2730 | |
Lindsay Twarog, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3948 Central Ave, Shadyside, OH 43947 Phone: 740-325-1313 Fax: 740-676-4914 |