Mrs Mary Lerae Herman, is a
Registered Nurse - Addiction (substance Use Disorder) based in Mobridge, South Dakota. Mrs Mary Lerae Herman is licensed to practice in South Dakota (license number R029350) and her current practice location is
12451 Hwy 1806, Mobridge, South Dakota. She can be reached at her office (for appointments etc.) via phone at
(605) 845-7181.
NPI number for Mrs Mary Lerae Herman is 1922634062 and her current mailing address is Po Box 680, Mobridge, South Dakota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1922634062.
Provider's Profile
| Full Name | Mrs Mary Lerae Herman |
|---|
| Gender | Female |
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| Speciality | Registered Nurse - Addiction (substance Use Disorder) |
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| Location | 12451 Hwy 1806, Mobridge, South Dakota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1922634062
- Provider Enumeration Date: 03/20/2020
- Last Update Date: 03/20/2020
Medical Identifiers
Medical identifiers for Mrs Mary Lerae Herman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922634062 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163WA0400X | Registered Nurse - Addiction (substance Use Disorder) | R029350 (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. Mrs Mary Lerae Herman 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 |
|---|
Mrs Mary Lerae Herman,
Po Box 680,
Mobridge, SD 57601-0680
Ph: (605) 845-7181 | Mrs Mary Lerae Herman,
12451 Hwy 1806,
Mobridge, SD 57601
Ph: (605) 845-7181 |
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