Dr Dewey J Ertz, EDD is a medicare enrolled "Psychologist" provider in Rapid City, South Dakota. His current practice location is
3601 Canyon Lake Dr, Rapid City, South Dakota. You can reach out to his office (for appointments etc.) via phone at
(605) 341-8647.
Dr Dewey J Ertz is licensed to practice in South Dakota (license number 123) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1164606570.
Healthcare Provider's Profile
| Full Name | Dr Dewey J Ertz |
|---|
| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 3601 Canyon Lake Dr, Rapid City, South Dakota |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Dewey J Ertz attended and graduated from in
NPI Data:
- NPI Number: 1164606570
- Provider Enumeration Date: 12/20/2007
- Last Update Date: 12/20/2007
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Dewey J Ertz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164606570 | NPI | - | NPPES |
| 6550193 | Medicaid | SD | |
| 460461452-26 | Medicaid | NE | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 123 (South Dakota) | Secondary |
| 103T00000X | Psychologist | 123 (South Dakota) | Primary |
| 103TC0700X | Psychologist - Clinical | 123 (South Dakota) | Secondary |
| 103TF0000X | Psychologist - Family | 123 (South Dakota) | Secondary |
| 103TF0200X | Psychologist - Forensic | 123 (South Dakota) | Secondary |
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | 123 (South Dakota) | Secondary |
| 103TP2701X | Psychologist - Group Psychotherapy | 123 (South Dakota) | Secondary |
| 103TR0400X | Psychologist - Rehabilitation | 123 (South Dakota) | Secondary |
| 103TS0200X | Psychologist - School | 29664-02 (South Dakota) | Secondary |
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. Dr Dewey J Ertz 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 Address | Practice Location Address |
|---|
Dr Dewey J Ertz, EDD
3601 Canyon Lake Dr,
Rapid City, SD 57702-3900
Ph: (605) 341-8647 | Dr Dewey J Ertz, EDD
3601 Canyon Lake Dr,
Rapid City, SD 57702-3900
Ph: (605) 341-8647 |
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