Mr Daniel Martin Tackett, MD | |
3751 Skyline Dr, Rapid City, SD 57701-5363 | |
(605) 341-7248 | |
(605) 431-0268 |
Full Name | Mr Daniel Martin Tackett |
---|---|
Gender | Male |
Speciality | Radiology - Radiation Oncology |
Location | 3751 Skyline Dr, 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 |
---|---|---|---|
1457347007 | NPI | - | NPPES |
102240700 | Medicaid | WY | |
920002680 | Other | RAILROAD MEDICARE | |
7202112 | Medicaid | SD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | 1894 (South Dakota) | Primary |
Entity Name | Avera Mckennan |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003389206 PECOS PAC ID: 0345157103 Enrollment ID: O20031110000117 |
Mailing Address | Practice Location Address |
---|---|
Mr Daniel Martin Tackett, MD 3751 Skyline Dr, Rapid City, SD 57701-5363 Ph: (605) 341-7248 | Mr Daniel Martin Tackett, MD 3751 Skyline Dr, Rapid City, SD 57701-5363 Ph: (605) 341-7248 |
Dr. Charles Virgil Voigt, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2929 5th St Ste 100, Rapid City, SD 57701 Phone: 817-570-7300 Fax: 817-570-7062 | |
Thomas L Krafka, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2929 5th St, First Floor, Rapid City, SD 57701 Phone: 605-342-2852 Fax: 605-342-3930 | |
Jon R Stenberg, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2929 5th St, Suite 100, Rapid City, SD 57701 Phone: 605-342-2852 Fax: 605-342-3930 | |
Robert A Durst Jr., M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2929 5th St, Suite 100, Rapid City, SD 57701 Phone: 605-342-2852 Fax: 604-342-3930 | |
Timothy Robert Frost, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2929 5th St, Suite 100, Rapid City, SD 57701 Phone: 605-342-2852 Fax: 605-342-3930 | |
Joseph P Sejvar, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2929 5th St, Suite 150, Rapid City, SD 57701 Phone: 605-342-2852 Fax: 605-342-3930 | |
Dr. Rishi A Nigam, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2929 5th St Ste 100, Rapid City, SD 57701 Phone: 605-342-2852 Fax: 605-342-3930 |