| Renal Associates Pc | |
|
357 W Tower Rd Dakota Dunes SD 57049-5018 | |
| (712) 255-7746 | |
| (712) 255-0829 |
| Full Name | Renal Associates Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 357 W Tower Rd, Dakota Dunes, South Dakota |
| Authorized Official Name and Position | Teri A Harris (ADMINISTRATOR) |
| Authorized Official Contact | 7122557746 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renal Associates Pc 357 West Tower Road Dakota Dunes SD 57049 Ph: (712) 255-7746 | Renal Associates Pc 357 W Tower Rd Dakota Dunes SD 57049-5018 Ph: (712) 255-7746 |
| NPI Number | 1386065662 |
|---|---|
| Provider Enumeration Date | 01/03/2014 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 7618886789 |
|---|---|
| Medicare Enrollment ID | O20140417000904 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386065662 | NPI | - | NPPES |
| 1821044884 | Other | IA | NPI |
| Provider Name | Ashar Luqman |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1275742090 PECOS PAC ID: 0749458685 Enrollment ID: I20140415000890 |
| Provider Name | Jerold Clancy Erlandson |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1558571497 PECOS PAC ID: 5092986869 Enrollment ID: I20151202000449 |
| Provider Name | Syed Ali |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1679544704 PECOS PAC ID: 5597796656 Enrollment ID: I20170620000923 |
| Provider Name | Marwan Farhan Jarmakani |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1972572386 PECOS PAC ID: 4688754377 Enrollment ID: I20210419002741 |
| Provider Name | Makenzie K Kreber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508496134 PECOS PAC ID: 1355762204 Enrollment ID: I20230215001335 |
| Provider Name | Kimberly A Hokinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316652043 PECOS PAC ID: 9234594615 Enrollment ID: I20230622000057 |
| Provider Name | Euclid J St Hill |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1740703990 PECOS PAC ID: 2365805249 Enrollment ID: I20230824002615 |
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