Vanessa Kudlock, NP | |
2398 5th Ave Ste 101, Belle Fourche, SD 57717-2340 | |
(605) 568-0191 | |
(605) 568-0195 |
Full Name | Vanessa Kudlock |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 2398 5th Ave Ste 101, Belle Fourche, South Dakota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033752258 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | CP001659 (South Dakota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Monument Health Spearfish Hospital | Spearfish, SD | Hospital |
Entity Name | Monument Health Network Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588185268 PECOS PAC ID: 5991616427 Enrollment ID: O20031111000854 |
Entity Name | Tri State Medical Center Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073390944 PECOS PAC ID: 6507212750 Enrollment ID: O20231025001218 |
Mailing Address | Practice Location Address |
---|---|
Vanessa Kudlock, NP 2398 5th Ave Ste 101, Belle Fourche, SD 57717-2340 Ph: (605) 568-0191 | Vanessa Kudlock, NP 2398 5th Ave Ste 101, Belle Fourche, SD 57717-2340 Ph: (605) 568-0191 |
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 | |
Gail Sue Wild, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2200 13th Ave, Belle Fourche, SD 57717 Phone: 605-892-2701 Fax: 605-644-4197 | |
Leah Sperry Gonzalez, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2200 13th Ave, Belle Fourche, SD 57717 Phone: 605-892-2701 |