Kelly M Bouma, CRNA | |
2800 3rd St, Rapid City, SD 57701-7374 | |
(605) 341-2000 | |
(605) 341-0278 |
Full Name | Kelly M Bouma |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 13 Years |
Location | 2800 3rd St, Rapid City, South Dakota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255630570 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R36162 (North Dakota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Black Hills Regional Eye Surgery Center Llc | 7113909201 | 4 |
Entity Name | Black Hills Regional Eye Surgery Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174654081 PECOS PAC ID: 7113909201 Enrollment ID: O20040602001563 |
Entity Name | Black Hills Surgical Hospital Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972630275 PECOS PAC ID: 5496742835 Enrollment ID: O20050616000485 |
Entity Name | Black Hills Regional Eye Surgery Center Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1346220183 PECOS PAC ID: 7113909201 Enrollment ID: O20090625000089 |
Mailing Address | Practice Location Address |
---|---|
Kelly M Bouma, CRNA Po Box 5010, Minot, ND 58702-5010 Ph: (701) 418-8000 | Kelly M Bouma, CRNA 2800 3rd St, Rapid City, SD 57701-7374 Ph: (605) 341-2000 |
Dawn Jo Zastoupil, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 353 Fairmont Blvd, Rapid City, SD 57501 Phone: 605-755-1000 | |
Patrick Staedtler, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 353 Fairmont Blvd, Rapid City, SD 57701 Phone: 605-755-1000 | |
Joseph W Amo, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 353 Fairmont Blvd, Rapid City, SD 57701 Phone: 605-719-1000 | |
Jessica Anne Newman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 353 Fairmont Blvd, Rapid City, SD 57701 Phone: 605-719-1000 | |
Karen A Bryant, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 353 Fairmont Blvd., Rapid City, SD 57701 Phone: 605-719-1000 | |
Mr. Peter Schwiesow, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 216 Anamaria Dr, Rapid City, SD 57701 Phone: 606-721-4700 | |
Carter Allen Wevik, DNP, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 216 Anamaria Dr, Rapid City, SD 57701 Phone: 605-721-4700 |