Eric Pederson, DO | |
502 E Monroe St, Rapid City, SD 57701-1400 | |
(605) 755-4060 | |
(605) 755-4012 |
Full Name | Eric Pederson |
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Gender | Male |
Speciality | Family Medicine |
Location | 502 E Monroe St, Rapid City, 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 |
---|---|---|---|
1679001945 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 12132 (South Dakota) | Primary |
Entity Name | Centerwell Senior Primary Care Nc Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073034625 PECOS PAC ID: 2264708486 Enrollment ID: O20171016002152 |
Entity Name | Centerwell Senior Primary Care Nc Jv Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366181943 PECOS PAC ID: 0345614384 Enrollment ID: O20230315000375 |
Mailing Address | Practice Location Address |
---|---|
Eric Pederson, DO 502 E Monroe St, Rapid City, SD 57701-1400 Ph: (605) 755-4060 | Eric Pederson, DO 502 E Monroe St, Rapid City, SD 57701-1400 Ph: (605) 755-4060 |
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 |