Carson Phillips, | |
2822 Jackson Blvd Ste 101, Rapid City, SD 57702-3497 | |
(605) 341-1208 | |
(605) 341-3552 |
Full Name | Carson Phillips |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 10 Years |
Location | 2822 Jackson Blvd Ste 101, Rapid City, South Dakota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518372127 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 10533 (South Dakota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Monument Health Rapid City Hospital | Rapid city, SD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Creekside Medical Clinic Prof Llc | 2062693799 | 7 |
Entity Name | Creekside Medical Clinic Prof Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902110836 PECOS PAC ID: 2062693799 Enrollment ID: O20110228000886 |
Mailing Address | Practice Location Address |
---|---|
Carson Phillips, 2822 Jackson Blvd Ste 101, Rapid City, SD 57702-3497 Ph: (605) 341-1208 | Carson Phillips, 2822 Jackson Blvd Ste 101, Rapid City, SD 57702-3497 Ph: (605) 341-1208 |
Kimberly Kennedy, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Minnesota St, Suite 210, Rapid City, SD 57701 Phone: 605-342-3280 Fax: 605-721-8412 | |
Wayne Plooster, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 717 Saint Francis St, Rapid City, SD 57701 Phone: 605-342-2880 | |
Alvin Wessel Jr., Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1200 Highland Park Dr, Rapid City, SD 57701 Phone: 605-341-7244 | |
Gordon Abernathie, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5410 Sheridan Lake Rd, Rapid City, SD 57702 Phone: 605-348-4141 Fax: 605-342-7880 | |
Alyssa Lyn Weaver, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 640 Flormann St, Rapid City, SD 57701 Phone: 605-744-3300 | |
Dr. Kay Kelts, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 717 Saint Francis St, Rapid City, SD 57701 Phone: 605-342-2880 | |
Samuel W Huot, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3810 Jackson Blvd, Rapid City, SD 57702 Phone: 605-343-4050 |