Theresa Mary Friend, CNM, MSN is a medicare enrolled "Advanced Practice Midwife" in Kyle, South Dakota. Her current practice location is
1000 Health Center Road, Kyle, South Dakota. You can reach out to her office (for appointments etc.) via phone at
(605) 455-8219.
Theresa Mary Friend is licensed to practice in Massachusetts (license number 156173) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1871560813.
Provider's Profile
| Full Name | Theresa Mary Friend |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 1000 Health Center Road, Kyle, South Dakota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1871560813
- Provider Enumeration Date: 03/08/2006
- Last Update Date: 08/27/2014
Medicare PECOS Information:
- PECOS PAC ID: 4284820135
- Enrollment ID: I20101118000394
Medical Identifiers
Medical identifiers for Theresa Mary Friend such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1871560813 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | 156173 (Massachusetts) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Theresa Mary Friend allows following entities to bill medicare on her behalf.
| Entity Name | Rapid City Indian Health Service Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316900327
PECOS PAC ID: 4789597840
Enrollment ID: O20031106000218 |
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| Entity Name | Pine Ridge Indian Health Service Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003963497
PECOS PAC ID: 7214825371
Enrollment ID: O20040309001203 |
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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. Theresa Mary Friend is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Theresa Mary Friend, CNM, MSN
1000 Health Center Road,
Kyle, SD 57752-0540
Ph: (605) 455-8219 | Theresa Mary Friend, CNM, MSN
1000 Health Center Road,
Kyle, SD 57752-0540
Ph: (605) 455-8219 |
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