Shannelle Susanne Rico, MD | |
Rosebud Ihs Hospital, Soldier Creek Road, Rosebud, SD 57570-0400 | |
(605) 747-3245 | |
(605) 747-2216 |
Full Name | Shannelle Susanne Rico |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 42 Years |
Location | Rosebud Ihs Hospital, Rosebud, 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 |
---|---|---|---|
1023078623 | NPI | - | NPPES |
000000378568 | Other | IN | BLUE CROSS |
200381310 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01050363A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
P H S Indian Hospital At Browning - Blackfeet | Browning, MT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Us Health Dept Of Health And Human Services | 9638081623 | 90 |
Entity Name | Rapid City Indian Health Service Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316900327 PECOS PAC ID: 4789597840 Enrollment ID: O20031106000218 |
Entity Name | Us Health Dept Of Health & Human Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972694602 PECOS PAC ID: 9638081623 Enrollment ID: O20031106000399 |
Entity Name | Rosebud Indian Health Service |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194757369 PECOS PAC ID: 6901704055 Enrollment ID: O20031226000337 |
Entity Name | Great Plains Tribal Chairmens Health Board |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376105452 PECOS PAC ID: 0648609917 Enrollment ID: O20200408001014 |
Mailing Address | Practice Location Address |
---|---|
Shannelle Susanne Rico, MD Hwy 77/75, P.o. Box Hh, Winnebago, NE 68071-0767 Ph: (402) 878-2231 | Shannelle Susanne Rico, MD Rosebud Ihs Hospital, Soldier Creek Road, Rosebud, SD 57570-0400 Ph: (605) 747-3245 |
Dr. Raquel Jaatoul, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Soldier Creek Road Phs Rosebud, Rosebud, SD 57570 Phone: 605-747-2231 |