Ms Diane M Kerkman, LPN is a
Licensed Practical Nurse based in Cedarburg, Wisconsin. Ms Diane M Kerkman is licensed to practice in Wisconsin (license number 33888031) and her current practice location is
W63 N14264 Washington Ave #13, Cedarburg, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(262) 377-3516.
NPI number for Ms Diane M Kerkman is 1790945053 and her current mailing address is W63 N14264 Washington Ave #13, Cedarburg, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790945053.
Provider's Profile
| Full Name | Ms Diane M Kerkman |
|---|
| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | W63 N14264 Washington Ave #13, Cedarburg, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790945053
- Provider Enumeration Date: 06/11/2008
- Last Update Date: 06/12/2008
Medical Identifiers
Medical identifiers for Ms Diane M Kerkman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1790945053 | NPI | - | NPPES |
| 35060300 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 164W00000X | Licensed Practical Nurse | 33888031 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Diane M Kerkman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Ms Diane M Kerkman, LPN W63 N14264 Washington Ave #13, Cedarburg, WI 53012 Ph: (262) 377-3516 | Ms Diane M Kerkman, LPN W63 N14264 Washington Ave #13, Cedarburg, WI 53012 Ph: (262) 377-3516 |
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