Dr E David Blickensderfer, MD | |
353 Fairmont Blvd, Rapid City, SD 57701-7375 | |
(605) 343-1333 | |
(605) 343-6017 |
Full Name | Dr E David Blickensderfer |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 35 Years |
Location | 353 Fairmont Blvd, 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 |
---|---|---|---|
1760461263 | NPI | - | NPPES |
5707050 | Medicaid | SD | |
0002907 | Other | SD | WELLMARK NUMBER |
050025368 | Other | SD | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 3704 (South Dakota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Monument Health Rapid City Hospital | Rapid city, SD | Hospital |
Same Day Surgery Center Llc | Rapid city, SD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
West River Anesthesiology Consultants Pc | 7810989100 | 16 |
Entity Name | West River Anesthesiology Consultants Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396775284 PECOS PAC ID: 7810989100 Enrollment ID: O20040330000506 |
Mailing Address | Practice Location Address |
---|---|
Dr E David Blickensderfer, MD Po Box 2760, Rapid City, SD 57709-2760 Ph: (605) 343-1333 | Dr E David Blickensderfer, MD 353 Fairmont Blvd, Rapid City, SD 57701-7375 Ph: (605) 343-1333 |
Benjamin Charles Lewis, CRNA Anesthesiology Medicare: Medicare Enrolled Practice Location: 353 Fairmont Blvd, Rapid City, SD 57701 Phone: 605-755-1000 | |
Mr. Paul A Bormes, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 350 Fairmont Blvd, Rapid City, SD 57701 Phone: 605-394-7010 | |
Dr. Stephen P Bailey, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 353 Fairmont Blvd, Rapid City, SD 57701 Phone: 605-343-1333 Fax: 605-343-6017 | |
Mark Adam Travnicek, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 353 Fairmont Blvd, Rapid City, SD 57701 Phone: 605-343-1333 Fax: 605-343-6017 | |
Dr. Bradley Kenneth Eichhorn, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 353 Fairmont Blvd, Rapid City, SD 57701 Phone: 605-343-1333 | |
Michael E Neilson, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 353 Fairmont Blvd, Rapid City, SD 57701 Phone: 605-343-1333 Fax: 605-343-6017 | |
Tyler Anthony Ptacek, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 101 E Minnesota St Ste 200, Rapid City, SD 57701 Phone: 605-342-3280 |