| Diana Lynn Luckhardt, NP | |
|
2622 Heartland Blvd, Ionia, MI 48846-8757 | |
| (517) 913-3860 | |
| (517) 484-6864 |
| Full Name | Diana Lynn Luckhardt |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 18 Years |
| Location | 2622 Heartland Blvd, Ionia, Michigan |
| 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 |
|---|---|---|---|
| 1760767040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 4704130092 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Edward W Sparrow Hospital | Lansing, MI | Hospital |
| Sparrow Clinton Hospital | Saint johns, MI | Hospital |
| Sparrow Carson Hospital | Carson city, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Edward W Sparrow Hospital Association | 6709799166 | 633 |
| Entity Name | Edward W Sparrow Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366498107 PECOS PAC ID: 6709799166 Enrollment ID: O20040311001138 |
| Mailing Address | Practice Location Address |
|---|---|
| Diana Lynn Luckhardt, NP 1703 East Michigan Avenue, Lansing, MI 48912 Ph: (517) 913-3860 | Diana Lynn Luckhardt, NP 2622 Heartland Blvd, Ionia, MI 48846-8757 Ph: (517) 913-3860 |
Joshua David Schad, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1576 W Bluewater Hwy, Ionia, MI 48846 Phone: 616-527-6331 | |
Jessica Anne Yates, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2776 S State Rd, Ionia, MI 48846 Phone: 616-775-7500 | |
Mrs. Denise Patricia Stepanovich, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1727 W Bluewater Hwy, Ionia, MI 48846 Phone: 616-527-2510 | |
Ms. Christina L Reisinger, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2776 S State Rd, Ionia, MI 48846 Phone: 616-775-7500 Fax: 616-775-7510 | |
Angela Soto, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1576 W Bluewater Hwy, Ionia, MI 48846 Phone: 800-592-2974 | |
Mrs. Jolynn Sue Mulder-carroll, MSN, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 910 E Lincoln Ave, Ionia, MI 48846 Phone: 616-527-2370 Fax: 616-527-3824 | |
Ashleigh Anne Roy, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2776 S State Rd, Ionia, MI 48846 Phone: 616-775-7500 |