Mrs Kathleeen Kae Zambo, CNP - Medicare Nurse Practitioner in Eagle Butte, SD

Mrs Kathleeen Kae Zambo, CNP is a medicare enrolled "Nurse Practitioner - Family" in Eagle Butte, South Dakota. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Eagle Butte Indian Health Service Hospital and her current practice location is 24276 Airport Road, Eagle Butte, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 964-7724.

Mrs Kathleeen Kae Zambo is licensed to practice in South Dakota (license number SD- RO17146) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1033183595.

Contact Information

Mrs Kathleeen Kae Zambo, CNP
24276 Airport Road,
Eagle Butte, SD 57625
(605) 964-7724
(605) 964-1110



Provider's Profile

Full NameMrs Kathleeen Kae Zambo
GenderFemale
SpecialityNurse Practitioner
Experience12 Years
Location24276 Airport Road, Eagle Butte, South Dakota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Kathleeen Kae Zambo graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1033183595
  • Provider Enumeration Date: 02/13/2006
  • Last Update Date: 03/04/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 6406980648
  • Enrollment ID: I20100810000827

Medical Identifiers

Medical identifiers for Mrs Kathleeen Kae Zambo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033183595NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family SD- RO17146 (South Dakota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Eagle Butte Indian Health Service Hospital751785275935

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Kathleeen Kae Zambo allows following entities to bill medicare on her behalf.
Entity NameEagle Butte Indian Health Service Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558395848
PECOS PAC ID: 7517852759
Enrollment ID: O20040217001024

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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. Mrs Kathleeen Kae Zambo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice 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

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Nurse Practitioner Nurses in Eagle Butte, SD

Carla Ann Schweitzer, CN P
Nurse Practitioner
Medicare: Accepting Medicare Assignments
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
Matthew Raymond Blumer, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 24276 166th St. Airport Road, Eagle Butte, SD 57625
Phone: 605-964-7724    
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: Accepting Medicare Assignments
Practice Location: 24276 166th St, Airport Rd, Eagle Butte, SD 57625
Phone: 605-964-7724    

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