Dr Jeremy Poulsen, DO | |
101 Tower Rd, Dakota Dunes, SD 57049-5007 | |
(605) 217-7246 | |
(605) 217-4878 |
Full Name | Dr Jeremy Poulsen |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 21 Years |
Location | 101 Tower Rd, Dakota Dunes, 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 |
---|---|---|---|
1992826838 | NPI | - | NPPES |
P00454461 | Other | CA | MEDICARE RAILROAD CARRIER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207LP2900X | Anesthesiology - Pain Medicine | 7794 (South Dakota) | Secondary |
207L00000X | Anesthesiology | 20A9945 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Dunes Surgical Hospital | Dakota dunes, SD | Hospital |
Burgess Health Center | Onawa, IA | Hospital |
Baum Harmon Mercy Hospital | Primghar, IA | Hospital |
Buena Vista Regional Medical Center | Storm lake, IA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Siouxland Anesthesiology Ltd | 2668453069 | 30 |
Dunes Anesthesia Pc | 9537141254 | 13 |
Dunes Anesthesia Pc | 9537141254 | 13 |
Entity Name | Siouxland Anesthesiology Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669496337 PECOS PAC ID: 2668453069 Enrollment ID: O20040529000159 |
Entity Name | Dunes Anesthesia Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801810585 PECOS PAC ID: 9537141254 Enrollment ID: O20040604000767 |
Mailing Address | Practice Location Address |
---|---|
Dr Jeremy Poulsen, DO 101 Tower Rd, Dakota Dunes, SD 57049-5007 Ph: (605) 217-7246 | Dr Jeremy Poulsen, DO 101 Tower Rd, Dakota Dunes, SD 57049-5007 Ph: (605) 217-7246 |
John Edward Cook, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 600 N Sioux Point Rd, Dakota Dunes, SD 57049 Phone: 605-232-3332 Fax: 605-232-0854 | |
Todd Christopher Johnson, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 101 Tower Rd Ste 103, Dakota Dunes, SD 57049 Phone: 605-217-7246 Fax: 605-217-4878 | |
Sara Ann Fouts, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 600 N Sioux Point Rd, Dakota Dunes, SD 57049 Phone: 605-232-3332 | |
Dr. Wade Lukken, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 600 N Sioux Point Rd, Dakota Dunes, SD 57049 Phone: 605-232-3332 Fax: 605-232-0854 | |
Robert G Zimmerman, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 600 N Sioux Point Rd, Dakota Dunes, SD 57049 Phone: 605-232-3332 Fax: 605-232-0854 | |
Frederick Charles Fisher, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 600 N Sioux Point Rd, Dakota Dunes, SD 57049 Phone: 605-232-3332 Fax: 605-232-0854 |