Dr Ryan Baxter, DMD is a medicare enrolled "Dentist" provider in Pine Ridge, South Dakota. His current practice location is
607 Indian Health Rd, Pine Ridge, South Dakota. You can reach out to his office (for appointments etc.) via phone at
(605) 867-5131.
Dr Ryan Baxter is licensed to practice in South Dakota (license number D1410) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1962853564.
Healthcare Provider's Profile
Full Name | Dr Ryan Baxter |
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Gender | Male |
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Speciality | Dentist |
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Location | 607 Indian Health Rd, Pine Ridge, South Dakota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1962853564
- Provider Enumeration Date: 06/24/2016
- Last Update Date: 06/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 1850686338
- Enrollment ID: I20200804001935
Medical Identifiers
Medical identifiers for Dr Ryan Baxter such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962853564 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 00204006 (Colorado) | Secondary |
122300000X | Dentist | DD5145 (New Mexico) | Secondary |
122300000X | Dentist | D1410 (South Dakota) | Primary |
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. Dr Ryan Baxter allows following entities to bill medicare on his behalf.
Entity Name | Pine Ridge Indian Health Service Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1003963497 PECOS PAC ID: 7214825371 Enrollment ID: O20040309001203 |
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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. Dr Ryan Baxter 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 Ryan Baxter, DMD 2004 Noah Street, Rapid City, SD 57703 Ph: (605) 381-7284 | Dr Ryan Baxter, DMD 607 Indian Health Rd, Pine Ridge, SD 57770-3169 Ph: (605) 867-5131 |
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