Jamie J Liudahl, DO | |
100 Mac Lane, Pierre, SD 57501-0758 | |
(605) 224-5901 | |
(605) 945-5296 |
Full Name | Jamie J Liudahl |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 100 Mac Lane, Pierre, 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 |
---|---|---|---|
1548217987 | NPI | - | NPPES |
5608410 | Medicaid | SD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 5660 (South Dakota) | Primary |
Entity Name | Avera St Marys |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669457180 PECOS PAC ID: 0143134965 Enrollment ID: O20040225000579 |
Mailing Address | Practice Location Address |
---|---|
Jamie J Liudahl, DO 100 Mac Lane, Pierre, SD 57501-0758 Ph: (605) 224-5901 | Jamie J Liudahl, DO 100 Mac Lane, Pierre, SD 57501-0758 Ph: (605) 224-5901 |
Caitlin Jensen, Family Medicine Medicare: Medicare Enrolled Practice Location: 3100 E Sd Highway 34, Pierre, SD 57501 Phone: 605-773-7475 | |
Mr. Robert Allen Johnson, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 521 E Sioux Ave, Pierre, SD 57501 Phone: 605-945-5560 Fax: 605-224-0369 | |
Mr. Noel Dennis Chicoine, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 521 E Sioux Ave, Pierre, SD 57501 Phone: 605-945-5560 Fax: 605-224-0369 | |
Victor Craig Strasburg, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 100 Mac Ln, Pierre, SD 57501 Phone: 605-224-5901 | |
Dr. Teresa Jo Bormann, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 521 E Sioux Ave, Pierre, SD 57501 Phone: 605-945-5560 Fax: 605-224-0369 | |
Nielsen H. Burns, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 801 E Sioux Ave, Pierre, SD 57501 Phone: 605-224-3177 | |
Dr. Jenna Wickersham, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 521 E Sioux Ave, Pierre, SD 57501 Phone: 605-945-5560 |