Gail Sue Wild, CNP | |
2200 13th Ave, Belle Fourche, SD 57717 | |
(605) 892-2701 | |
(605) 644-4197 |
Full Name | Gail Sue Wild |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 2200 13th Ave, Belle Fourche, 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 |
---|---|---|---|
1629016480 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 0204 (South Dakota) | Secondary |
363LF0000X | Nurse Practitioner - Family | R018558 (South Dakota) | Primary |
Entity Name | Monument Health Network Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588185268 PECOS PAC ID: 5991616427 Enrollment ID: O20031111000854 |
Mailing Address | Practice Location Address |
---|---|
Gail Sue Wild, CNP 353 Fairmont Blvd, Atten Medical Staff Services, Rapid City, SD 57701-6000 Ph: () - | Gail Sue Wild, CNP 2200 13th Ave, Belle Fourche, SD 57717 Ph: (605) 892-2701 |
Vanessa Kudlock, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2398 5th Ave Ste 101, Belle Fourche, SD 57717 Phone: 605-568-0191 Fax: 605-568-0195 | |
Ladonna Raye Bender, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2200 13th Ave, Belle Fourche, SD 57717 Phone: 605-892-2701 Fax: 605-723-0210 | |
Abigail Schumaker Marek, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2200 13th Ave, Belle Fourche, SD 57717 Phone: 605-723-8970 | |
Margaret Marcine Dacar, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2200 13th Ave, Belle Fourche, SD 57717 Phone: 605-723-8970 Fax: 605-723-0120 | |
Leah Sperry Gonzalez, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2200 13th Ave, Belle Fourche, SD 57717 Phone: 605-892-2701 |