| Dr Wade Lukken, MD | |
|
600 N Sioux Point Rd, Dakota Dunes, SD 57049-5000 | |
| (605) 232-3332 | |
| (605) 232-0854 |
| Full Name | Dr Wade Lukken |
|---|---|
| Gender | Male |
| Speciality | Interventional Pain Management |
| Experience | 22 Years |
| Location | 600 N Sioux Point Rd, Dakota Dunes, 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 |
|---|---|---|---|
| 1538289772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LP2900X | Anesthesiology - Pain Medicine | 7029 (South Dakota) | Secondary |
| 207L00000X | Anesthesiology | 7029 (South Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Dunes Surgical Hospital | Dakota dunes, SD | Hospital |
| Avera Sacred Heart Hospital | Yankton, SD | Hospital |
| Pender Community Hospital | Pender, NE | Hospital |
| Buena Vista Regional Medical Center | Storm lake, IA | Hospital |
| Floyd Valley Healthcare | Le mars, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Siouxland Anesthesiology Ltd | 2668453069 | 25 |
| Sacred Heart Health Services | 6103729066 | 85 |
| Dunes Anesthesia Pc | 9537141254 | 11 |
| Siouxland Anesthesiology Ltd | 2668453069 | 25 |
| Dunes Anesthesia Pc | 9537141254 | 11 |
| Entity Name | Sacred Heart Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861611683 PECOS PAC ID: 6103729066 Enrollment ID: O20040128000978 |
| Entity Name | Siouxland Anesthesiology Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669496337 PECOS PAC ID: 2668453069 Enrollment ID: O20040529000159 |
| Entity Name | Dunes Anesthesia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801810585 PECOS PAC ID: 9537141254 Enrollment ID: O20040604000767 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Wade Lukken, MD 600 N Sioux Point Rd, Dakota Dunes, SD 57049-5000 Ph: (605) 232-3332 | Dr Wade Lukken, MD 600 N Sioux Point Rd, Dakota Dunes, SD 57049-5000 Ph: (605) 232-3332 |
John Edward Cook, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 600 N Sioux Point Rd, Dakota Dunes, SD 57049 Phone: 605-232-3332 Fax: 605-232-0854 | |
Todd Christopher Johnson, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 101 Tower Rd Ste 103, Dakota Dunes, SD 57049 Phone: 605-217-7246 Fax: 605-217-4878 | |
Sara Ann Fouts, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 600 N Sioux Point Rd, Dakota Dunes, SD 57049 Phone: 605-232-3332 | |
Robert G Zimmerman, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 600 N Sioux Point Rd, Dakota Dunes, SD 57049 Phone: 605-232-3332 Fax: 605-232-0854 | |
Frederick Charles Fisher, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 600 N Sioux Point Rd, Dakota Dunes, SD 57049 Phone: 605-232-3332 Fax: 605-232-0854 | |
Dr. Jeremy Poulsen, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 101 Tower Rd, Dakota Dunes, SD 57049 Phone: 605-217-7246 Fax: 605-217-4878 |