Mr Heith L Waddell, MD | |
1041 Montgomery St, Custer, SD 57730-1304 | |
(605) 673-4150 | |
(605) 673-3917 |
Full Name | Mr Heith L Waddell |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 18 Years |
Location | 1041 Montgomery St, Custer, 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 |
---|---|---|---|
1932413267 | NPI | - | NPPES |
135583000 | Medicaid | WY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 8880 (South Dakota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Crook County Hospital | Sundance, WY | Hospital |
Monument Health Spearfish Hospital | Spearfish, SD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Crook County Medical Services District | 9234032483 | 8 |
Entity Name | Crook County Medical Services District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871660159 PECOS PAC ID: 9234032483 Enrollment ID: O20040127001018 |
Entity Name | Crook County Medical Services District |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1871660159 PECOS PAC ID: 9234032483 Enrollment ID: O20091023000380 |
Mailing Address | Practice Location Address |
---|---|
Mr Heith L Waddell, MD Po Box 517, 713 Oak Street, Sundance, WY 82729-0517 Ph: (307) 283-3501 | Mr Heith L Waddell, MD 1041 Montgomery St, Custer, SD 57730-1304 Ph: (605) 673-4150 |
Terry M Graber, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1041 Montgomery Street, Custer, SD 57730 Phone: 605-673-4150 Fax: 605-673-3917 | |
Connor Eugene Weisser, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1220 Montgomery St # 57730, Custer, SD 57730 Phone: 970-810-2815 | |
Dennis R. Wicks, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 25224 Holiday Trl, Custer, SD 57730 Phone: 605-673-2689 Fax: 605-673-2689 | |
Joy M Falkenburg, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1041 Montgomery Street, Custer, SD 57730 Phone: 605-673-4150 Fax: 605-673-3917 | |
Dr. Brandyn Ashley Tarap, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1369 Montgomery St, Custer, SD 57730 Phone: 605-673-3900 | |
Dr. Lisa B Brown, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1041 Montgomery Street, Custer, SD 57730 Phone: 605-673-4150 Fax: 605-673-3917 |