Jacqualine L Dohrmann, CRNA is a
Nurse Anesthetist, Certified Registered based in Edgemont, South Dakota. Jacqualine L Dohrmann is licensed to practice in South Dakota (license number R032057-0492) and her current practice location is
25674 Dewey Rd, Edgemont, South Dakota. She can be reached at her office (for appointments etc.) via phone at
(605) 749-2308.
NPI number for Jacqualine L Dohrmann is 1043281819 and her current mailing address is 25674 Dewey Rd, Edgemont, South Dakota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043281819.
Provider's Profile
Full Name | Jacqualine L Dohrmann |
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Gender | Female |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 25674 Dewey Rd, Edgemont, South Dakota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1043281819
- Provider Enumeration Date: 01/30/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Jacqualine L Dohrmann such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043281819 | NPI | - | NPPES |
84005U | Other | TX | BCBS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 560951 (Texas) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | R032057-0492 (South Dakota) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | 20192.259 (Wyoming) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 100820 (Nebraska) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | C01057 (Arkansas) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | RNA-617 (Idaho) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | R27793 (New Mexico) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 23817 (Kansas) | Secondary |
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. Jacqualine L Dohrmann 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 |
Jacqualine L Dohrmann, CRNA 25674 Dewey Rd, Edgemont, SD 57735-7004 Ph: (605) 749-2308 | Jacqualine L Dohrmann, CRNA 25674 Dewey Rd, Edgemont, SD 57735-7004 Ph: (605) 749-2308 |
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