Tim J Watt, MD | |
4141 5th St, Rapid City, SD 57701-6021 | |
(605) 341-2424 | |
(605) 341-4547 |
Full Name | Tim J Watt |
---|---|
Gender | Male |
Speciality | Neurological Surgery |
Location | 4141 5th St, 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 |
---|---|---|---|
1477512762 | NPI | - | NPPES |
6100850 | Medicaid | SD | |
118029100 | Medicaid | WY | |
0040744 | Other | SD | WELLMARK BCBS PROVIDER # |
22176 | Other | NE | BCBS PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | 5120 (South Dakota) | Primary |
Entity Name | Black Hills Orthopedic And Spine Center Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477523678 PECOS PAC ID: 0648172932 Enrollment ID: O20040126000940 |
Mailing Address | Practice Location Address |
---|---|
Tim J Watt, MD 4141 5th St, Rapid City, SD 57701-6021 Ph: (605) 341-2424 | Tim J Watt, MD 4141 5th St, Rapid City, SD 57701-6021 Ph: (605) 341-2424 |
Stuart Glen Rice, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 4141 5th St, Rapid City, SD 57701 Phone: 605-341-2424 Fax: 605-341-4547 | |
James F Nabwangu, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 2805 5th St, Suite 100, Rapid City, SD 57701 Phone: 605-719-5650 Fax: 605-719-5655 | |
Dr. Rodney Mark Samuelson, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1635 Caregiver Cir, Rapid City, SD 57702 Phone: 605-755-6100 Fax: 605-755-6101 | |
Theodore G Obenchain, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 2805 5th St, Rapid City, SD 57701 Phone: 605-719-5650 Fax: 605-719-5655 | |
Dr. Jonathan Lee Wilson, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 4141 5th St, Rapid City, SD 57701 Phone: 605-341-2424 Fax: 605-341-4547 | |
Mark S Monasky, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2805 5th St, 100, Rapid City, SD 57701 Phone: 605-719-5700 Fax: 605-719-5701 | |
Larry L Teuber, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 9701 Clarkson Rd, Rapid City, SD 57702 Phone: 605-484-1616 Fax: 605-394-9307 |