Dr Matthew Julian Wideroff, MD | |
2805 5th St, Rapid City, SD 57701 | |
(605) 755-5700 | |
(605) 755-5701 |
Full Name | Dr Matthew Julian Wideroff |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 14 Years |
Location | 2805 5th St, 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 |
---|---|---|---|
1134448129 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 9934 (South Dakota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Monument Health Rapid City Hospital | Rapid city, SD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Monument Health Rapid City Hospital, Inc. | 6002729506 | 424 |
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 |
---|---|
Dr Matthew Julian Wideroff, MD 2510 Sw 27th Ln, Miami, FL 33133-3113 Ph: (561) 715-1642 | Dr Matthew Julian Wideroff, MD 2805 5th St, Rapid City, SD 57701 Ph: (605) 755-5700 |
Wesley L Sufficool, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 211 Founders Park Dr Ste 2, Rapid City, SD 57701 Phone: 605-791-5553 Fax: 605-791-5644 | |
Justin Green, Surgery Medicare: Accepting Medicare Assignments Practice Location: 2820 Mount Rushmore Rd, Rapid City, SD 57701 Phone: 605-342-3280 | |
Michael Statz, Surgery Medicare: Accepting Medicare Assignments Practice Location: 2820 Mount Rushmore Rd, Rapid City, SD 57701 Phone: 605-342-3280 | |
Dr. Tiffany Ann Frederickson, Surgery Medicare: Accepting Medicare Assignments Practice Location: 8412 Kitt Peak Rd, Rapid City, SD 57702 Phone: 515-201-8982 | |
Kristin Wempe, MD Surgery Medicare: Medicare Enrolled Practice Location: 2820 Mount Rushmore Rd, Rapid City, SD 57701 Phone: 605-342-3280 | |
John Bedingfield, Surgery Medicare: Accepting Medicare Assignments Practice Location: 2820 Mount Rushmore Rd, Rapid City, SD 57701 Phone: 605-342-3280 |