Gloria D Walz, CNP is a
Physician Assistant based in Custer, South Dakota. Gloria D Walz is licensed to practice in South Dakota (license number 0270) and her current practice location is
1041 Montgomery Street, Custer, South Dakota. She can be reached at her office (for appointments etc.) via phone at
(605) 673-4150.
NPI number for Gloria D Walz is 1326028937 and her current mailing address is 353 Fairmont Blvd, Atten Mss, Rapid City, South Dakota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1326028937.
Provider's Profile
| Full Name | Gloria D Walz |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 1041 Montgomery Street, Custer, South Dakota |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1326028937
- Provider Enumeration Date: 01/19/2006
- Last Update Date: 01/23/2013
Medical Identifiers
Medical identifiers for Gloria D Walz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326028937 | NPI | - | NPPES |
| 970015058 | Other | | MEDICARE RAILROAD PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 0270 (South Dakota) | Primary |
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. Gloria D Walz is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Gloria D Walz, CNP
353 Fairmont Blvd, Atten Mss,
Rapid City, SD 57701-7375
Ph: () - | Gloria D Walz, CNP
1041 Montgomery Street,
Custer, SD 57730-1304
Ph: (605) 673-4150 |
Reviews and Comments