Angela R Anderson, MD | |
1445 North Ave, Spearfish, SD 57783 | |
(605) 644-4170 | |
(605) 644-4198 |
Full Name | Angela R Anderson |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 1445 North Ave, Spearfish, 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 |
---|---|---|---|
1235173659 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD196544 (Oregon) | Secondary |
208000000X | Pediatrics | 3897 (South Dakota) | Primary |
Entity Name | Monument Health Network Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588185268 PECOS PAC ID: 5991616427 Enrollment ID: O20031111000854 |
Entity Name | Avera St Marys |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669457180 PECOS PAC ID: 0143134965 Enrollment ID: O20040225000579 |
Entity Name | Black Hills Surgical Hospital Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972630275 PECOS PAC ID: 5496742835 Enrollment ID: O20050616000485 |
Entity Name | Monument Health Rapid City Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275553463 PECOS PAC ID: 6002729506 Enrollment ID: O20070625000144 |
Mailing Address | Practice Location Address |
---|---|
Angela R Anderson, MD 353 Fairmont Blvd, Atten Medical Staff Services, Rapid City, SD 57701-6000 Ph: () - | Angela R Anderson, MD 1445 North Ave, Spearfish, SD 57783 Ph: (605) 644-4170 |
Mary Mcadoo, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Queen City Regional Medical Clinic, 1420 N. 10th Street, Spearfish, SD 57783 Phone: 605-642-8414 | |
Roslyn Oakley, Pediatrics Medicare: Medicare Enrolled Practice Location: 1445 North Ave, Spearfish, SD 57783 Phone: 605-644-4170 Fax: 605-644-4198 | |
Tara Marie Ulmer, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1445 North Ave, Spearfish, SD 57783 Phone: 605-644-4170 Fax: 605-644-4198 | |
Stephen C Parys, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1445 North Ave, Spearfish, SD 57783 Phone: 605-644-4170 Fax: 605-644-4198 |