| Debra K Leibel, CNP | |
|
809 Jackson St, Burke, SD 57523-2065 | |
| (605) 775-2631 | |
| (605) 775-2564 |
| Full Name | Debra K Leibel |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 809 Jackson St, Burke, 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 |
|---|---|---|---|
| 1356347496 | NPI | - | NPPES |
| 4997517 | Other | SD | BLUE CROSS OF SD |
| 6823700 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R016114 (South Dakota) | Primary |
| Entity Name | Community Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447293196 PECOS PAC ID: 2163317900 Enrollment ID: O20040219000507 |
| Mailing Address | Practice Location Address |
|---|---|
| Debra K Leibel, CNP 814 Jackson St, Burke, SD 57523-0358 Ph: (605) 775-2631 | Debra K Leibel, CNP 809 Jackson St, Burke, SD 57523-2065 Ph: (605) 775-2631 |
Brittney Michele Korthals, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 809 Jackson St, Burke, SD 57523 Phone: 605-775-2621 | |
Spencer James Arment, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 809 Jackson St, Burke, SD 57523 Phone: 605-775-2621 | |
Amy S Juracek, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 809 Jackson St, Burke, SD 57523 Phone: 605-775-2631 |