Mary S Carpenter, MD | |
809 Jackson St, Burke, SD 57523-2065 | |
(605) 775-2631 | |
(605) 775-2564 |
Full Name | Mary S Carpenter |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 809 Jackson St, Burke, South Dakota |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417038100 | NPI | - | NPPES |
0851370001 | Other | DME | |
5604133 | Medicaid | SD | |
5604130 | Medicaid | SD | |
5604132 | Medicaid | SD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 1484 (South Dakota) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mary S Carpenter, MD 809 Jackson Street, Po Box 358, Burke, SD 57523 Ph: (605) 775-2631 | Mary S Carpenter, MD 809 Jackson St, Burke, SD 57523-2065 Ph: (605) 775-2631 |
Tony L Berg, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 809 Jackson St, Burke, SD 57523 Phone: 605-775-2631 Fax: 605-775-2564 | |
Megan M Smith, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 809 Jackson St, Burke, SD 57523 Phone: 605-775-2631 |