Tina E Evenson, CFNP | |
100 Lake Traverse Dr, Sisseton, SD 57262-7046 | |
(605) 698-7606 | |
Not Available |
Full Name | Tina E Evenson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 16 Years |
Location | 100 Lake Traverse 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 |
---|---|---|---|
1114151214 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 2009001820 (Minnesota) | Secondary |
363LF0000X | Nurse Practitioner - Family | R-130178-2 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Parker Indian Health Center | Parker, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dhhs Ihs Phoenix Area | 0244405629 | 26 |
Dhhs Ihs Phoenix Area | 7810163011 | 16 |
Entity Name | Woodrow Wilson Keeble Memorial Health Care Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366471666 PECOS PAC ID: 1850295940 Enrollment ID: O20031120000810 |
Entity Name | Dhhs Ihs Phoenix Area |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396022026 PECOS PAC ID: 0244405629 Enrollment ID: O20120105000013 |
Entity Name | Dhhs Ihs Phoenix Area |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265719934 PECOS PAC ID: 7810163011 Enrollment ID: O20120109000961 |
Entity Name | Irene Benn Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841535317 PECOS PAC ID: 0840430724 Enrollment ID: O20130717000832 |
Mailing Address | Practice Location Address |
---|---|
Tina E Evenson, CFNP 439009 Northside Dr, Lake City, SD 57247-6149 Ph: () - | Tina E Evenson, CFNP 100 Lake Traverse Dr, Sisseton, SD 57262-7046 Ph: (605) 698-7606 |
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 | |
Tenecia Mason, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Lake Traverse Dr, Sisseton, SD 57262 Phone: 605-698-7606 |