Gregory Anderson, DO | |
2905 5th St, Rapid City, SD 57701-7316 | |
(605) 341-7337 | |
(605) 341-2447 |
Full Name | Gregory Anderson |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 2905 5th 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 |
---|---|---|---|
1225016777 | NPI | - | NPPES |
6703070 | Medicaid | SD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 7615 (South Dakota) | Primary |
Entity Name | Black Hills Pediatrics And Neonatology |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639229727 PECOS PAC ID: 4486617420 Enrollment ID: O20041110000461 |
Mailing Address | Practice Location Address |
---|---|
Gregory Anderson, DO 2905 5th St, Rapid City, SD 57701-7316 Ph: (605) 341-7337 | Gregory Anderson, DO 2905 5th St, Rapid City, SD 57701-7316 Ph: (605) 341-7337 |
Kimberly Hushagen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2905 5th St, Rapid City, SD 57701 Phone: 605-341-7337 | |
Sam L Mortimer, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2905 5th St, Rapid City, SD 57701 Phone: 605-341-7337 Fax: 605-341-2447 | |
Stephen M Kovarik, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2905 5th St, Rapid City, SD 57701 Phone: 605-341-7337 Fax: 605-341-2447 | |
Rachel C Edelen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 640 Flormann St, Rapid City, SD 57701 Phone: 605-718-3300 Fax: 605-718-3426 | |
Dr. Elizabeth S Farnsworth, MD, PHD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2820 Mount Rushmore Rd # Rs, Rapid City, SD 57701 Phone: 605-342-3280 | |
Ms. Mary Sibert Fox, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3200 Canyon Lake Dr, Rapid City, SD 57702 Phone: 605-355-2423 Fax: 605-355-2403 |