| Vicki Lubbers, CNP | |
|
401 W Glynn Dr, Parkston, SD 57366-9605 | |
| (605) 928-3311 | |
| (605) 928-7368 |
| Full Name | Vicki Lubbers |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 401 W Glynn Dr, Parkston, 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 |
|---|---|---|---|
| 1629461520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | CP000937 (South Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wagner Community Memorial Hospital - Cah | Wagner, SD | Hospital |
| Avera Sacred Heart Hospital | Yankton, SD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wagner Indian Health Service Health Center | 6305758483 | 14 |
| Entity Name | Wagner Indian Health Service Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326066796 PECOS PAC ID: 6305758483 Enrollment ID: O20031105000746 |
| Mailing Address | Practice Location Address |
|---|---|
| Vicki Lubbers, CNP 401 W Glynn Dr, Parkston, SD 57366-9605 Ph: (605) 928-3311 | Vicki Lubbers, CNP 401 W Glynn Dr, Parkston, SD 57366-9605 Ph: (605) 928-3311 |
Mariah Lee Suess, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 W Glynn Dr, Parkston, SD 57366 Phone: 605-928-3311 Fax: 605-928-7368 | |
Lindsay Rae Weber, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 401 W Glynn Dr, Parkston, SD 57366 Phone: 605-928-3311 Fax: 605-928-7368 |