Tracy John Pierret, MD | |
901 4th St Nw, Watertown, SD 57201-1558 | |
(605) 886-8471 | |
(605) 886-9317 |
Full Name | Tracy John Pierret |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 901 4th St Nw, Watertown, 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 |
---|---|---|---|
1700831534 | NPI | - | NPPES |
6701952 | Medicaid | SD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 5890 (South Dakota) | Primary |
Entity Name | Sanford Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396764254 PECOS PAC ID: 0244143824 Enrollment ID: O20031110000532 |
Entity Name | Sanford Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821017880 PECOS PAC ID: 8325950215 Enrollment ID: O20040115000388 |
Mailing Address | Practice Location Address |
---|---|
Tracy John Pierret, MD Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () - | Tracy John Pierret, MD 901 4th St Nw, Watertown, SD 57201-1558 Ph: (605) 886-8471 |
Allen L Hoekman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 901 4th St Nw, Watertown, SD 57201 Phone: 605-886-8471 Fax: 605-886-9317 | |
Craig E. Crismon, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 511 14th Ave Ne, Watertown, SD 57201 Phone: 605-886-8482 Fax: 605-884-4300 |