| Brandi Pravecek, CNP | |
|
610 Billars Street, Scotland, SD 57059 | |
| (605) 583-2227 | |
| (605) 583-6125 |
| Full Name | Brandi Pravecek |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 610 Billars Street, Scotland, South Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093800427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 0378 (South Dakota) | Primary |
| Entity Name | Landmann Jungman Memorial Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649321407 PECOS PAC ID: 2961461421 Enrollment ID: O20041008001072 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandi Pravecek, CNP 610 Billars Street, Scotland, SD 57059 Ph: (605) 583-2227 | Brandi Pravecek, CNP 610 Billars Street, Scotland, SD 57059 Ph: (605) 583-2227 |
Melissa Kludt, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Billars St, Scotland, SD 57059 Phone: 605-583-2226 | |
Ashley Nicola, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 Billars St, Scotland, SD 57059 Phone: 605-583-2226 | |
Nancy Lu Jean Webb, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 610 Billars St, Scotland, SD 57059 Phone: 605-583-2227 Fax: 605-583-6125 |