Mrs Rena J Robbennolt, CNP | |
608 E Garfield Ave, Gettysburg, SD 57442-1325 | |
(605) 765-2273 | |
(605) 765-2273 |
Full Name | Mrs Rena J Robbennolt |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 28 Years |
Location | 608 E Garfield Ave, Gettysburg, 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 |
---|---|---|---|
1851370746 | NPI | - | NPPES |
6825683 | Medicaid | SD | |
6825682 | Medicaid | SD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 0200 (South Dakota) | Secondary |
363LF0000X | Nurse Practitioner - Family | CP000200 (South Dakota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Avera At Home | Pierre, SD | Home health agency |
Avera Gettysburg Hospital | Gettysburg, SD | Hospital |
Avera St Mary's Hospital | Pierre, SD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Avera St Marys | 0143134965 | 82 |
Avera Gettysburg | 4284619362 | 7 |
Entity Name | Avera St Marys |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669457180 PECOS PAC ID: 0143134965 Enrollment ID: O20040225000579 |
Entity Name | Avera Gettysburg |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1003887266 PECOS PAC ID: 4284619362 Enrollment ID: O20061104000319 |
Entity Name | Avera Gettysburg |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366091357 PECOS PAC ID: 4284619362 Enrollment ID: O20191025000756 |
Mailing Address | Practice Location Address |
---|---|
Mrs Rena J Robbennolt, CNP 100 Mac Lane, Avera Medical Group Pierre, Pierre, SD 57501 Ph: (605) 945-5201 | Mrs Rena J Robbennolt, CNP 608 E Garfield Ave, Gettysburg, SD 57442-1325 Ph: (605) 765-2273 |
Daylon Duane Wigart, RN MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 606 E Garfield Ave, Gettysburg, SD 57442 Phone: 605-765-2461 | |
Connie Belford, C.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 606 E Garfield Ave Ste C, Gettysburg, SD 57442 Phone: 605-765-2273 Fax: 605-765-2474 |