David K Custis, PA-C is a medicare enrolled "Physician Assistant" in Wall, South Dakota. He graduated from nursing school in 1982 and has 42 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Black Hills Surgical Hospital Llp and his current practice location is
112 7th Ave, Wall, South Dakota. You can reach out to his office (for appointments etc.) via phone at
(605) 279-2149.
David K Custis is licensed to practice in South Dakota (license number 0123) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1477516540.
Provider's Profile
| Full Name | David K Custis |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 42 Years |
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| Location | 112 7th Ave, Wall, South Dakota |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- David K Custis graduated from nursing school in 1982
NPI Data:
- NPI Number: 1477516540
- Provider Enumeration Date: 04/10/2006
- Last Update Date: 03/27/2014
Medicare PECOS Information:
- PECOS PAC ID: 6305972571
- Enrollment ID: I20190917002845
Medical Identifiers
Medical identifiers for David K Custis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477516540 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 0123 (South Dakota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Black Hills Surgical Hospital Llp | 5496742835 | 64 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. David K Custis is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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David K Custis, PA-C
353 Fairmont Blvd, Atten Christie Mss,
Rapid City, SD 57701-7350
Ph: () - | David K Custis, PA-C
112 7th Ave,
Wall, SD 57790-0423
Ph: (605) 279-2149 |
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