Pamela Kim Phillips, MD | |
2805 5th St, 100, Rapid City, SD 57701-7306 | |
(605) 755-5700 | |
(605) 755-3691 |
Full Name | Pamela Kim Phillips |
---|---|
Gender | Female |
Speciality | Micrographic Dermatologic Surgery (mds) |
Experience | 37 Years |
Location | 2805 5th St, Rapid City, South Dakota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962481044 | NPI | - | NPPES |
473987600 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | S4216 (Texas) | Secondary |
207ND0101X | Dermatology - Mohs-micrographic Surgery | S4216 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mountain West Derm - Blackhart Pllc | 1153609813 | 105 |
Entity Name | Mountain West Derm - Austin Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396267332 PECOS PAC ID: 8628344280 Enrollment ID: O20171026000092 |
Entity Name | Mountain West Derm - Blackhart Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366018848 PECOS PAC ID: 1153609813 Enrollment ID: O20211018000436 |
Mailing Address | Practice Location Address |
---|---|
Pamela Kim Phillips, MD 4513 Williams Dr, Georgetown, TX 78633-1302 Ph: (512) 930-3909 | Pamela Kim Phillips, MD 2805 5th St, 100, Rapid City, SD 57701-7306 Ph: (605) 755-5700 |
Tamara Poling, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2820 Mount Rushmore Rd, Rapid City, SD 57701 Phone: 605-342-3280 | |
Dr. Heather Rae Peck, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2805 5th St Ste 210, Rapid City, SD 57701 Phone: 605-343-2267 | |
Dr. Linda Jo Fromm, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4447 S Canyon Rd Ste 6, Rapid City, SD 57702 Phone: 605-721-5550 Fax: 605-721-5515 | |
Dr. Marc E Boddicker, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 710 Saint Anne St, Rapid City, SD 57701 Phone: 605-343-8000 Fax: 605-341-8575 | |
Cynthia A Anderson, Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2820 Mount Rushmore Rd, Rapid City, SD 57701 Phone: 605-721-8354 Fax: 605-721-8458 | |
Briana Hill, Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2820 Mount Rushmore Rd, Rapid City, SD 57701 Phone: 605-342-3280 | |
Victoria Finley, Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2820 Mount Rushmore Rd, Rapid City, SD 57701 Phone: 605-342-3280 |