Lana J Dirksen (NPI# 1316381965, PAC ID# 9436460565) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1316381965 |
| PAC ID by PECOS | 9436460565 |
| Professional Enrollment ID | I20150616002506 |
| Full Name | Lana J Dirksen |
| Organization Legal Name | CCM HEALTH |
| Address |
824 N 11th St Montevideo MN 56265-1629 |
| Phone Number | 3202698877 |
| Gender | F |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 2013 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4284539453 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 241325 | CHIPPEWA COUNTY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 824 N 11th St, Montevideo, MN 56265-1629 | 3202698877 | CCM HEALTH |
| Organization Legal Name | CCM HEALTH |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bruce W Arvold | Emergency Medicine | Ccm Health | 824 N 11th St, Montevideo, MN 56265-1629 |
| Robert Maurice Payne | Family Medicine | Ccm Health | 824 N 11th St, Montevideo, MN 56265-1683 |
| Amy Jo Rongstad | Nurse Practitioner | Ccm Health | 824 N 11th St, Montevideo, MN 56265-1683 |
| Leesa R Novotny | Family Medicine | Ccm Health | 824 N 11th St, Montevideo, MN 56265-1629 |
| Eduardo Duenas-barajas | Internal Medicine | Ccm Health | 824 N 11th St, Montevideo, MN 56265-1683 |
| Gregg A Waylander | Nurse Practitioner | Ccm Health | 824 N 11th St, Montevideo, MN 56265-1683 |
| Janice D Briones | Nurse Practitioner | Ccm Health | 824 N 11th St, Montevideo, MN 56265-1629 |
| Nicholas D Krueger | Family Medicine | Ccm Health | 824 N 11th St, Montevideo, MN 56265-1683 |
| Patrick J Hanna | Family Medicine | Ccm Health | 824 N 11th St, Montevideo, MN 56265-1683 |
| Jessica A Stettner | Nurse Practitioner | Ccm Health | 824 N 11th St, Montevideo, MN 56265-1683 |
| Street Address |
824 N 11TH ST |
| City | MONTEVIDEO |
| State | MN |
| Zip | 56265-1629 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gerald M Rieber | Orthopedic Surgery | Gerald M. Rieber Md PC | 824 N 11th St, Montevideo, MN 56265-1629 |
| Michael J Vener | Orthopedic Surgery | Michael J. Vener Md PC | 824 N 11th St, Montevideo, MN 56265-1629 |
| Bruce W Arvold | Emergency Medicine | Ccm Health | 824 N 11th St, Montevideo, MN 56265-1629 |
| Robert Maurice Payne | Family Medicine | Ccm Health | 824 N 11th St, Montevideo, MN 56265-1683 |
| Amy Jo Rongstad | Nurse Practitioner | Ccm Health | 824 N 11th St, Montevideo, MN 56265-1683 |
| Leesa R Novotny | Family Medicine | Ccm Health | 824 N 11th St, Montevideo, MN 56265-1629 |
| Eduardo Duenas-barajas | Internal Medicine | Ccm Health | 824 N 11th St, Montevideo, MN 56265-1683 |
| Gregg A Waylander | Nurse Practitioner | Ccm Health | 824 N 11th St, Montevideo, MN 56265-1683 |
| Janice D Briones | Nurse Practitioner | Ccm Health | 824 N 11th St, Montevideo, MN 56265-1629 |
| Nicholas D Krueger | Family Medicine | Ccm Health | 824 N 11th St, Montevideo, MN 56265-1683 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven G Beals | Optometry | 209 N 1st St, Po Box 218, Montevideo, MN 56265-0218 | |
| Thomas G Lewison | Certified Registered Nurse Anesthetist (crna) | Ccm Health | 824 N 11th St, Montevideo, MN 56265-1629 |
| Brandon Chase Osbon | Family Medicine | Ccm Health | 824 N 11th St, Montevideo, MN 56265-1629 |
| Jeanne A Murphy | Certified Registered Nurse Anesthetist (crna) | River Valley Anesthesia Pa | 824 N 11th St, Montevideo, MN 56265-1629 |
| Neal C Rucks | Physician Assistant | Ccm Health | 824 N 11th St, Montevideo, MN 56265-1629 |
| Nicholas Michael Taurinskas | Family Medicine | Ccm Health | 824 N 11th St, Montevideo, MN 56265-1629 |
| Craig P Mckay | Certified Registered Nurse Anesthetist | River Valley Anesthesia P.a. | 824 N 11th St, Montevideo, MN 56265-1629 |
| Patrick J Hanna | Family Medicine | Ccm Health | 824 N 11th St, Montevideo, MN 56265-1683 |
| Jessica A Stettner | Nurse Practitioner | Ccm Health | 824 N 11th St, Montevideo, MN 56265-1683 |
| Jeffrey B Anderson | Optometry | 602 Legion Dr, Montevideo, MN 56265-1709 | |
| Find all physicians in zip 56265 | |||
| City | MONTEVIDEO |
| Zip Code | 56265 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MONTEVIDEO + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Lana J Dirksen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.