| Mr Kevin D Lauck, PA-C | |
|
110 E Main St, Bloomfield, NE 68718-4408 | |
| (402) 373-4341 | |
| (402) 373-4344 |
| Full Name | Mr Kevin D Lauck |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 24 Years |
| Location | 110 E Main St, Bloomfield, Nebraska |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598713885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1040 (Nebraska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chi Health Health At Home Plainview | Plainview, NE | Home health agency |
| Avera @ Home | Yankton, SD | Home health agency |
| Avera Sacred Heart Hospital | Yankton, SD | Hospital |
| Osmond General Hospital | Osmond, NE | Hospital |
| Avera Creighton Hospital | Creighton, NE | Hospital |
| Faith Health | Norfolk, NE | Hospital |
| Chi Health Plainview | Plainview, NE | Hospital |
| Colonial Manor Of Randolph | Randolph, NE | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bloomfield Medical Clinic, Pc | 5890877831 | 4 |
| Entity Name | Osmond General Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700979614 PECOS PAC ID: 4183689227 Enrollment ID: O20041130000809 |
| Entity Name | Bloomfield Medical Clinic, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003091497 PECOS PAC ID: 5890877831 Enrollment ID: O20080129000530 |
| Entity Name | Sacred Heart Health Services |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1225332471 PECOS PAC ID: 6103729066 Enrollment ID: O20110307000319 |
| Entity Name | Sacred Heart Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083918171 PECOS PAC ID: 6103729066 Enrollment ID: O20110321000687 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kevin D Lauck, PA-C Po Box 357, Bloomfield, NE 68718-0357 Ph: (402) 373-4341 | Mr Kevin D Lauck, PA-C 110 E Main St, Bloomfield, NE 68718-4408 Ph: (402) 373-4341 |