Zachary Gordon Hague, | |
353 Fairmont Blvd, Rapid City, SD 57701-7375 | |
(605) 390-0762 | |
Not Available |
Full Name | Zachary Gordon Hague |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 8 Years |
Location | 353 Fairmont Blvd, Rapid City, South Dakota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093176232 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | SD-RNR036473 (South Dakota) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | CR000911 (South Dakota) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Monument Health Rapid City Hospital | Rapid city, SD | Hospital |
Same Day Surgery Center Llc | Rapid city, SD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Monument Health Rapid City Hospital Inc | 6002729506 | 431 |
Entity Name | Monument Health Rapid City Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275553463 PECOS PAC ID: 6002729506 Enrollment ID: O20070625000144 |
Mailing Address | Practice Location Address |
---|---|
Zachary Gordon Hague, 822 Crimson Ct, Rapid City, SD 57701-6505 Ph: (605) 390-0762 | Zachary Gordon Hague, 353 Fairmont Blvd, Rapid City, SD 57701-7375 Ph: (605) 390-0762 |
Ms. Donna Marie Huber, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3200 Canyon Lake Dr, Rapid City, SD 57702 Phone: 605-355-2298 Fax: 605-355-2553 | |
Linda Marie Richards, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3200 Canyon Lake Drive, Indian Health Service, Rapid City, SD 57702 Phone: 605-355-2500 Fax: 605-355-2515 | |
Jodi Lynn Moore, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 410 E Monroe St, Rapid City, SD 57701 Phone: 605-341-6448 Fax: 605-341-2941 | |
Julia Marie Bitz, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 308 Quincy St, Rapid City, SD 57701 Phone: 605-391-4863 Fax: 605-342-3692 | |
Barb Volker, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4605 Wentworth Dr, Rapid City, SD 57702 Phone: 605-484-8611 | |
Chisolm Mcdonald, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 308 Quincy St, Rapid City, SD 57701 Phone: 605-391-4863 | |
Melanie Watt, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 111 North St, Rapid City, SD 57701 Phone: 605-343-0650 Fax: 605-342-3692 |