Gary Lynn Childers, DO | |
1420 N 10th St, Spearfish, SD 57783 | |
(605) 642-8414 | |
(605) 642-8618 |
Full Name | Gary Lynn Childers |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 1420 N 10th St, 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 |
---|---|---|---|
1073606679 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 4474 (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 |
Mailing Address | Practice Location Address |
---|---|
Gary Lynn Childers, DO 353 Fairmont Blvd, Atten Medical Staff Services, Rapid City, SD 57701-6000 Ph: () - | Gary Lynn Childers, DO 1420 N 10th St, Spearfish, SD 57783 Ph: (605) 642-8414 |
Richard L. Keim, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1420 N 10th St, Spearfish, SD 57783 Phone: 605-642-8414 Fax: 605-642-8618 | |
Dr. Prashant J Mehta, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1440 N Main St, Spearfish, SD 57783 Phone: 605-644-4000 Fax: 605-755-7884 | |
Dr. Kevin Michael Simonelic, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1440 N Main St, Spearfish, SD 57783 Phone: 605-644-4000 |