| Kerri Lutjens, CNP | |
|
401 W Glynn Dr, Parkston, SD 57366-9605 | |
| (605) 928-7961 | |
| Not Available |
| Full Name | Kerri Lutjens |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 401 W Glynn Dr, Parkston, 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 |
|---|---|---|---|
| 1023716792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | R032678 (South Dakota) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | CP002728 (South Dakota) | Primary |
| Entity Name | St Benedict Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295758266 PECOS PAC ID: 4880507672 Enrollment ID: O20040129001118 |
| Entity Name | St Benedict Health Center |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1356443725 PECOS PAC ID: 4880507672 Enrollment ID: O20061104000310 |
| Mailing Address | Practice Location Address |
|---|---|
| Kerri Lutjens, CNP 720 W 15th Ave, Mitchell, SD 57301-5507 Ph: (605) 770-2375 | Kerri Lutjens, CNP 401 W Glynn Dr, Parkston, SD 57366-9605 Ph: (605) 928-7961 |
Mariah Lee Suess, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 401 W Glynn Dr, Parkston, SD 57366 Phone: 605-928-3311 Fax: 605-928-7368 | |
Vicki Lubbers, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 W Glynn Dr, Parkston, SD 57366 Phone: 605-928-3311 Fax: 605-928-7368 | |
Lindsay Rae Weber, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 W Glynn Dr, Parkston, SD 57366 Phone: 605-928-3311 Fax: 605-928-7368 |