Kenneth R Travnicek, is a
Nurse Anesthetist, Certified Registered based in Parkston, South Dakota. Kenneth R Travnicek is licensed to practice in South Dakota (license number CR000113) and his current practice location is
401 W Glynn Dr, Parkston, South Dakota. He can be reached at his office (for appointments etc.) via phone at
(605) 928-3311.
NPI number for Kenneth R Travnicek is 1871749861 and his current mailing address is 401 W Glynn Dr, Parkston, South Dakota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1871749861.
Provider's Profile
| Full Name | Kenneth R Travnicek |
|---|
| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 401 W Glynn Dr, Parkston, South Dakota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1871749861
- Provider Enumeration Date: 08/11/2008
- Last Update Date: 08/11/2008
Medical Identifiers
Medical identifiers for Kenneth R Travnicek such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871749861 | NPI | - | NPPES |
| 4997801 | Other | SD | WELLMARK BLUE CROSS BLUE SHIELD |
| R014620 | Other | SD | DAKOTACARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | CR000113 (South Dakota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenneth R Travnicek is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kenneth R Travnicek,
401 W Glynn Dr,
Parkston, SD 57366-9605
Ph: (605) 928-3311 | Kenneth R Travnicek,
401 W Glynn Dr,
Parkston, SD 57366-9605
Ph: (605) 928-3311 |
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