Matthew R Lutjens, CNP | |
105 S State St Ste 113, Aberdeen, SD 57401-4502 | |
(605) 225-0378 | |
(605) 225-7919 |
Full Name | Matthew R Lutjens |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 105 S State St Ste 113, Aberdeen, South Dakota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023568516 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | CP001148 (South Dakota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Avera St Lukes | Aberdeen, SD | Hospital |
Avera St Mary's Hospital | Pierre, SD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Avera St Marys | 0143134965 | 82 |
Avera St Lukes | 6406764927 | 134 |
Entity Name | Avera St Lukes |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215100813 PECOS PAC ID: 6406764927 Enrollment ID: O20040120000912 |
Entity Name | Avera St Marys |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669457180 PECOS PAC ID: 0143134965 Enrollment ID: O20040225000579 |
Mailing Address | Practice Location Address |
---|---|
Matthew R Lutjens, CNP Po Box 1460, Aberdeen, SD 57402-1460 Ph: (605) 622-2876 | Matthew R Lutjens, CNP 105 S State St Ste 113, Aberdeen, SD 57401-4502 Ph: (605) 225-0378 |
Ashley Marie Landis, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3015 3rd Ave Se, Aberdeen, SD 57401 Phone: 605-226-5500 | |
Lindsay Habeck, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3015 3rd Ave Se, Aberdeen, SD 57401 Phone: 605-226-5500 | |
Ms. Valerie Anne Jones, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1315 6th Ave Se, Suite 6, Aberdeen, SD 57401 Phone: 605-225-1538 Fax: 605-229-2053 | |
Kristine Lynn Fastenau, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 310 S Penn St Ste 203, Aberdeen, SD 57401 Phone: 605-225-7326 | |
Alisa Hogue, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 310 S Penn St, Suite 202, Aberdeen, SD 57401 Phone: 605-622-2895 Fax: 605-622-2896 | |
Sara Hegg, CNP, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2120 8th Ave Ne, Aberdeen, SD 57401 Phone: 605-725-4772 Fax: 605-725-4777 |