| Deloros E Wacker, RN | |
|
1410 W 25th St, Sioux Falls, SD 57105-1552 | |
| (605) 334-2696 | |
| (605) 339-9944 |
| Full Name | Deloros E Wacker |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 33 Years |
| Location | 1410 W 25th St, Sioux Falls, 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 |
|---|---|---|---|
| 1679575294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | R012816 (South Dakota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North American Baptist Seminary | 8628979721 | 19 |
| Entity Name | North American Baptist Seminary |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962503383 PECOS PAC ID: 8628979721 Enrollment ID: O20040120000573 |
| Mailing Address | Practice Location Address |
|---|---|
| Deloros E Wacker, RN 1410 W 25th St, Sioux Falls, SD 57105-1552 Ph: (605) 334-2696 | Deloros E Wacker, RN 1410 W 25th St, Sioux Falls, SD 57105-1552 Ph: (605) 334-2696 |
Susan Lynn Schmeichel Harder, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2412 S Cliff Ave, Sioux Falls, SD 57105 Phone: 605-322-4079 Fax: 605-322-4080 | |
Charles Deridder, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2501 W 22nd St, Sioux Falls, SD 57105 Phone: 605-336-3230 Fax: 605-977-4405 | |
Sam Booth, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2109 S Norton Ave, Sioux Falls, SD 57105 Phone: 605-334-2696 | |
Emily Lynn Lake, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4300 S Louise Ave Ste 201, Sioux Falls, SD 57106 Phone: 605-334-7713 | |
Mr. Victor Vincent Bien, MA, NCC, LPC, QMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2210 S Brown Pl, Sioux Falls, SD 57105 Phone: 605-336-1974 | |
Alyssa Sommer Mendel, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 310 S 1st Ave, Sioux Falls, SD 57104 Phone: 605-275-1328 | |
Kristi Miller, MS LPC MS QMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1410 W 25th St, Sioux Falls, SD 57105 Phone: 605-334-2696 Fax: 605-339-9944 |