Ryan Daniel Prusa, DPM | |
400 22nd Ave, Brookings, SD 57006-2447 | |
(605) 697-9500 | |
Not Available |
Full Name | Ryan Daniel Prusa |
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Gender | Male |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 400 22nd Ave, Brookings, South Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902464027 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | 249 (South Dakota) | Primary |
213E00000X | Podiatrist | 096109 (Iowa) | Secondary |
Provider Name | City Of Brookings |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1932281029 PECOS PAC ID: 1052307105 Enrollment ID: O20040423000002 |
Mailing Address | Practice Location Address |
---|---|
Ryan Daniel Prusa, DPM 400 22nd Ave, Brookings, SD 57006-2447 Ph: (605) 697-9500 | Ryan Daniel Prusa, DPM 400 22nd Ave, Brookings, SD 57006-2447 Ph: (605) 697-9500 |
Nephi Jones, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 400 22nd Ave, Brookings, SD 57006 Phone: 605-697-9500 | |
Foot And Ankle Clinic, Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3405 6th St, Brookings, SD 57006 Phone: 605-693-7246 Fax: 605-693-7247 | |
Dr. Tyler Richard Harrell, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 400 22nd Ave, Brookings, SD 57006 Phone: 605-697-9500 |