Dr Sally Ann Keese Clark, DDS in Hot Springs, SD

Dr Sally Ann Keese Clark, DDS is a medicare enrolled "Dentist" provider in Hot Springs, South Dakota. Her current practice location is 602 Jennings Ave, Hot Springs, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 745-3975.

Dr Sally Ann Keese Clark is licensed to practice in Nebraska (license number 7190) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1124227335.

Contact Information

	Dr Sally Ann Keese Clark, DDS
	602 Jennings Ave, Hot Springs, SD 57747-1691
	(605) 745-3975
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Sally Ann Keese Clark
Gender	Female
Speciality	Dentist
Location	602 Jennings Ave, Hot Springs, South Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124227335
Provider Enumeration Date: 07/17/2007
Last Update Date: 01/22/2026

Medicare PECOS Information:

PECOS PAC ID: 0042519993
Enrollment ID: I20220729000942

Medical Identifiers

Medical identifiers for Dr Sally Ann Keese Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124227335	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	7190 (Nebraska)	Primary
1223G0001X	Dentist - General Practice	D0630 (South Dakota)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Sally Ann Keese Clark allows following entities to bill medicare on her behalf.

Entity Name	Bluestem Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932156114 PECOS PAC ID: 6800706672 Enrollment ID: O20040219000213

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Sally Ann Keese Clark is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Sally Ann Keese Clark, DDS 10740 S 98th St, Lincoln, NE 68526-9463 Ph: () -	Dr Sally Ann Keese Clark, DDS 602 Jennings Ave, Hot Springs, SD 57747-1691 Ph: (605) 745-3975

Reviews and Comments

Dentist in Hot Springs, SD

Dr. Shane S Hansen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2205 Sioux Ave, Hot Springs, SD 57747 Phone: 605-891-8704
Dr. Bianka N/a Bidovska-miller, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 602 Jennings Ave, Hot Springs, SD 57747 Phone: 605-745-3975 Fax: 605-745-3395
Dr. Donald L Massa, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 602 Jennings Ave, Hot Springs, SD 57747 Phone: 605-745-3975 Fax: 605-745-3395
Dr. Peter Michael Sotherland, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 110 N Chicago St, Hot Springs, SD 57747 Phone: 605-745-5776
Dr. Angela T Curry, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 500 N 5th St, Hot Springs, SD 57747 Phone: 605-745-2050
George Thurlow Waxler, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 500 N. 5th St., Hot Springs, SD 57747 Phone: 605-745-2000

Dr Sally Ann Keese Clark, DDS - Medicare Dentist in Hot Springs, SD