| Mckenzie Lueken, | |
|
120 Se 4th St, Evansville, IN 47708-1607 | |
| (812) 426-9311 | |
| (812) 426-9839 |
| Full Name | Mckenzie Lueken |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 120 Se 4th St, Evansville, Indiana |
| 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 |
|---|---|---|---|
| 1003418682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 10003101A (Indiana) | Primary |
| 363AM0700X | Physician Assistant - Medical | (NU) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Deaconess Hospital Inc | Evansville, IN | Hospital |
| Deaconess Memorial Medical Center, Inc | Jasper, IN | Hospital |
| Deaconess Henderson Hospital | Henderson, KY | Hospital |
| Good Samaritan Hospital | Vincennes, IN | Hospital |
| Owensboro Health Regional Hospital | Owensboro, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Deaconess Specialty Physicians, Inc | 0244595205 | 228 |
| Lake Cumberland Rheumatology Pllc | 0446309058 | 22 |
| Lake Cumberland Rheumatology Pllc | 0446309058 | 22 |
| Entity Name | Deaconess Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619123585 PECOS PAC ID: 3375610116 Enrollment ID: O20080922000145 |
| Entity Name | Deaconess Specialty Physicians, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306344817 PECOS PAC ID: 0244595205 Enrollment ID: O20180702001637 |
| Mailing Address | Practice Location Address |
|---|---|
| Mckenzie Lueken, Po Box 1510, Evansville, IN 47706-1510 Ph: (812) 450-6815 | Mckenzie Lueken, 120 Se 4th St, Evansville, IN 47708-1607 Ph: (812) 426-9311 |
Olivia Askins, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 515 Walnut St, Evansville, IN 47708 Phone: 812-488-2300 |
Ms. Katherine Elisabeth Hulsey, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1931 Lincoln Ave Ste C, Evansville, IN 47714 Phone: 812-488-5640 Fax: 877-471-0651 |
Mr. Douglas Floyd Fackler, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Evansville Va Outpatient Clinic, 500 E. Walnut, Evansville, IN 47713 Phone: 812-465-6202 Fax: 812-465-6201 |
Ms. Emily L Seger, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 520 Mary St Ste 520, Evansville, IN 47710 Phone: 812-424-8231 Fax: 812-435-8794 |
Grace A Bryant, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 S Rosenberger Ave Ste A200, Evansville, IN 47712 Phone: 812-401-0500 |
John Philip Bryan, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 225 Crosslake Dr, Evansville, IN 47715 Phone: 812-477-1558 Fax: 812-488-4669 |
Sydney C Burkhart, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 225 Crosslake Dr, Evansville, IN 47715 Phone: 812-477-1558 |