Mrs Lisa M Bucklin, CNP | |
205 Orchard Dr, Sisseton, SD 57262-2312 | |
(605) 698-7681 | |
(605) 698-3493 |
Full Name | Mrs Lisa M Bucklin |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 24 Years |
Location | 205 Orchard Dr, Sisseton, South Dakota |
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 |
---|---|---|---|
1841296555 | NPI | - | NPPES |
6823133 | Medicaid | SD | |
630958500 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | R022487 (South Dakota) | Primary |
363L00000X | Nurse Practitioner | R-158898-7 (Minnesota) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Milbank Area Hospital/avera Health | Milbank, SD | Hospital |
Avera Mckennan Hospital & University Health Center | Sioux falls, SD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Avera Mckennan | 0345157103 | 833 |
Entity Name | Avera Mckennan |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003389206 PECOS PAC ID: 0345157103 Enrollment ID: O20031110000117 |
Mailing Address | Practice Location Address |
---|---|
Mrs Lisa M Bucklin, CNP 205 Orchard Dr, Sisseton, SD 57262-2312 Ph: (605) 698-7681 | Mrs Lisa M Bucklin, CNP 205 Orchard Dr, Sisseton, SD 57262-2312 Ph: (605) 698-7681 |
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 | |
Jay S Guikema, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Lake Traverse Dr, Sisseton, SD 57262 Phone: 056-987-6066 | |
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 |