Tianna Rose Smith, MD | |
513 3rd St Sw, Wagner, SD 57380-9675 | |
(605) 384-3611 | |
Not Available |
Full Name | Tianna Rose Smith |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 6 Years |
Location | 513 3rd St Sw, Wagner, 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 |
---|---|---|---|
1578129557 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 13569 (South Dakota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wagner Community Memorial Hospital - Cah | Wagner, SD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wagner Community Memorial Hospital | 3577459700 | 18 |
Entity Name | Wagner Community Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740306992 PECOS PAC ID: 3577459700 Enrollment ID: O20040225000391 |
Mailing Address | Practice Location Address |
---|---|
Tianna Rose Smith, MD Po Box 280, Wagner, SD 57380-0280 Ph: (605) 384-3611 | Tianna Rose Smith, MD 513 3rd St Sw, Wagner, SD 57380-9675 Ph: (605) 384-3611 |
Jarod Myer, FNP-C Family Medicine Medicare: Medicare Enrolled Practice Location: 513 3rd St Sw, Wagner, SD 57380 Phone: 605-384-3611 | |
Dr. Gretchen Marie Esplund, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 111 Washington Avenue North West, Wagner, SD 57380 Phone: 605-384-3621 Fax: 605-384-5229 | |
Mikaela Jean Koenig, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 513 3rd St Sw, Wagner, SD 57380 Phone: 605-384-3418 Fax: 605-384-5240 |