Michael Whetzel, | |
3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | |
(605) 718-5095 | |
Not Available |
Full Name | Michael Whetzel |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 3200 Canyon Lake Dr, Rapid City, South Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508279811 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | I.1700737 (Ohio) | Primary |
Entity Name | Great Plains Tribal Chairmens Health Board |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376105452 PECOS PAC ID: 0648609917 Enrollment ID: O20200408001014 |
Mailing Address | Practice Location Address |
---|---|
Michael Whetzel, 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 Ph: (605) 355-2500 | Michael Whetzel, 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 Ph: (605) 718-5095 |
Deanna Mundt Steckman, MSW, CSW-PIP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 918 5th St, Rapid City, SD 57701 Phone: 605-348-6086 Fax: 605-348-1050 | |
Adriane Marie Mucheck-rooks, MSW-CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 353 Fairmont Blvd, Rapid City, SD 57701 Phone: 605-719-7190 | |
Suzanne Darlene Greene, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 810 Mountain View Rd, Rapid City, SD 57702 Phone: 605-791-4665 Fax: 605-791-4666 | |
Jolene Peterson, MSW LCSW PIP Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3200 Canyon Lake Dr, Rapid City, SD 57702 Phone: 605-355-2215 Fax: 605-355-2504 | |
Mary Ann Fredrickson, LCSW-PIP Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 353 Fairmont Blvd., Rapid City, SD 57701 Phone: 605-719-2300 Fax: 605-719-2310 | |
Audra Hill, MSW/CSW-PIP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 316 Middle Valley Dr, Rapid City, SD 57701 Phone: 605-381-0049 | |
Christina Green, MSW CSW-PIP QMHP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 124 Savoy Cir, Rapid City, SD 57701 Phone: 605-381-2920 |