| Mrs Kathleeen Kae Zambo, CNP | |
|
24276 Airport Road, Eagle Butte, SD 57625 | |
| (605) 964-7724 | |
| (605) 964-1110 |
| Full Name | Mrs Kathleeen Kae Zambo |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 24276 Airport Road, Eagle Butte, South Dakota |
| 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 |
|---|---|---|---|
| 1033183595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | SD- RO17146 (South Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| West Winds Health Services, Inc | Faith, SD | Home health agency |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eagle Butte Indian Health Service Hospital | 7517852759 | 24 |
| Entity Name | Eagle Butte Indian Health Service Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558395848 PECOS PAC ID: 7517852759 Enrollment ID: O20040217001024 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kathleeen Kae Zambo, CNP 39382 128th St, Bath, SD 57427-5200 Ph: (605) 226-0184 | Mrs Kathleeen Kae Zambo, CNP 24276 Airport Road, Eagle Butte, SD 57625 Ph: (605) 964-7724 |
Carla Ann Schweitzer, CN P Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8000 E Hwy 212, Eagle Butte, SD 57625 Phone: 605-964-8000 Fax: 605-964-1118 | |
Susan F Baker, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Ihs Main Street, Eagle Butte, SD 57625 Phone: 605-964-3004 Fax: 605-964-1110 | |
Deleen Jean Kougl, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 315 Main Street, Eagle Butte, SD 57625 Phone: 605-964-7700 Fax: 605-964-7701 | |
Amanda Wortman, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 24276 166th St, Airport Rd, Eagle Butte, SD 57625 Phone: 605-964-7724 |