| Kena D Lackman, MD | |
|
725 Fair St, Buhl, ID 83316-6442 | |
| (208) 543-8271 | |
| (208) 543-8272 |
| Full Name | Kena D Lackman |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 8 Years |
| Location | 725 Fair St, Buhl, Idaho |
| 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 |
|---|---|---|---|
| 1427583285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MRM-1634 (Idaho) | Secondary |
| 207Q00000X | Family Medicine | M-14465 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Lukes Magic Valley Medical Center | Twin falls, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Family Health Services Corporation | 7012815038 | 47 |
| Family Health Services Corporation | 7012815038 | 47 |
| Entity Name | St Lukes Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306911169 PECOS PAC ID: 5496659567 Enrollment ID: O20031121000276 |
| Entity Name | St Lukes Community Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1336213446 PECOS PAC ID: 5496659567 Enrollment ID: O20061104000674 |
| Mailing Address | Practice Location Address |
|---|---|
| Kena D Lackman, MD 794 Eastland Dr, Twin Falls, ID 83301-6856 Ph: (208) 734-3312 | Kena D Lackman, MD 725 Fair St, Buhl, ID 83316-6442 Ph: (208) 543-8271 |
Joshua Ted Stringam, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 725 Fair St, Buhl, ID 83316 Phone: 208-543-8271 Fax: 208-543-8272 | |
Lauren Clelland, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 980 Burley Ave, Buhl, ID 83316 Phone: 208-814-8000 |