Kimberly Trask, DDS is a medicare enrolled "Dentist - General Practice" provider in Fort Meade, South Dakota. Her current practice location is
113 Comanche Rd, Fort Meade, South Dakota. You can reach out to her office (for appointments etc.) via phone at
(605) 720-7131.
Kimberly Trask is licensed to practice in South Dakota (license number D0967) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1184916454.
Healthcare Provider's Profile
Full Name | Kimberly Trask |
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Gender | Female |
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Speciality | Dentist - General Practice |
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Location | 113 Comanche Rd, Fort Meade, 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: 1184916454
- Provider Enumeration Date: 05/05/2011
- Last Update Date: 09/18/2019
Medicare PECOS Information:
- PECOS PAC ID: 8123349081
- Enrollment ID: I20150603001847
Medical Identifiers
Medical identifiers for Kimberly Trask such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184916454 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | D0967 (South Dakota) | Primary |
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. Kimberly Trask 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 |
Kimberly Trask, DDS 21355 Elm Springs Rd, Wasta, SD 57791-7805 Ph: () - | Kimberly Trask, DDS 113 Comanche Rd, Fort Meade, SD 57741-1002 Ph: (605) 720-7131 |
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