| Mrs Lisa M Bucklin, CNP | |
|
205 Orchard Dr, Sisseton, SD 57262-2312 | |
| (605) 698-7681 | |
| (605) 698-3493 |
| Full Name | Mrs Lisa M Bucklin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 25 Years |
| Location | 205 Orchard Dr, Sisseton, 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 |
|---|---|---|---|
| 1841296555 | NPI | - | NPPES |
| 6823133 | Medicaid | SD | |
| 630958500 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | R022487 (South Dakota) | Primary |
| 363L00000X | Nurse Practitioner | R-158898-7 (Minnesota) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Milbank Area Hospital/avera Health | Milbank, SD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Avera Mckennan | 0345157103 | 927 |
| Entity Name | Avera Mckennan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699009944 PECOS PAC ID: 0345157103 Enrollment ID: O20031110000117 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Lisa M Bucklin, CNP 205 Orchard Dr, Sisseton, SD 57262-2312 Ph: (605) 698-7681 | Mrs Lisa M Bucklin, CNP 205 Orchard Dr, Sisseton, SD 57262-2312 Ph: (605) 698-7681 |
Faith Ann Phillips, DNP, RNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Lake Traverse Dr, Sisseton, SD 57262 Phone: 605-698-7606 | |
Lakeina Shelton, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Lake Traverse Dr, Sisseton, SD 57262 Phone: 603-952-2549 | |
Mr. Robert Michael Keller Jr., ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5 E Chestnut St, Sisseton, SD 57262 Phone: 605-698-7606 | |
Ms. Katherine Joan Mackenzie, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Lake Traverse Dr, Sisseton, SD 57262 Phone: 605-698-7606 | |
Ms. Carmen Maria Redlin, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Lake Traverse Dr, Sisseton, SD 57262 Phone: 605-698-7606 | |
Tina E Evenson, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Lake Traverse Dr, Sisseton, SD 57262 Phone: 605-698-7606 | |
Mr. Michael Price, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Lake Traverse Dr, Sisseton, SD 57262 Phone: 605-698-7606 Fax: 605-742-0182 |