Vicki D Peterson Truksa
PARK STREET MEDICAL CLINIC PC


Address: 505 S Park St, Genoa, NE 68640-3036
Phone: 4029932206

Vicki D Peterson Truksa (NPI# 1053671883, PAC ID# 4688822158) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1053671883
PAC ID by PECOS 4688822158
Professional Enrollment ID I20120907000559
Full Name Vicki D Peterson Truksa
Organization Legal Name PARK STREET MEDICAL CLINIC PC
Address 505 S Park St
Genoa
NE 68640-3036
Phone Number 4029932206
Gender F
Graduation Year 2011
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 7517146913
Number of Group Practice Members 5
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
281312 GENOA COMMUNITY HOSPITAL
280111 COLUMBUS COMMUNITY HOSPITAL

Other Locations

Address Phone Organization
505 S Park St, Genoa, NE 68640-3036 4029932206 PARK STREET MEDICAL CLINIC PC

Organization Information

Organization Legal Name PARK STREET MEDICAL CLINIC PC
Physicians 2

Physicians with the same organization

Name Specialty Organization Address
Steven D Watton Physician Assistant Park Street Medical Clinic PC 505 S Park St, Genoa, NE 68640-3036

Office Location

Street Address 505 S PARK ST
City GENOA
State NE
Zip 68640-3036

Physicians in the same location

Name Specialty Organization Address
Steven D Watton Physician Assistant Park Street Medical Clinic PC 505 S Park St, Genoa, NE 68640-3036

Physicians in the same zip code

Name Specialty Organization Address
Brian K Buhlke Family Medicine City of Genoa 706 Ewing St, Genoa Community Hospital, Genoa, NE 68640-3035

Competitor

Search similar physicians

City GENOA
Zip Code 68640
Specialty NURSE PRACTITIONER
City + Specialty GENOA + NURSE PRACTITIONER

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Dataset Information

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.

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