| Sara K Reausaw-wilson, DMD | |
|
4215 Berniece St, Rapid City, SD 57703-6410 | |
| (605) 343-6691 | |
| (605) 343-6731 |
| Full Name | Sara K Reausaw-wilson |
|---|---|
| Gender | Female |
| Speciality | Dentist - General Practice |
| Location | 4215 Berniece St, Rapid City, 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 |
|---|---|---|---|
| 1285807214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D0819 (South Dakota) | Primary |
| Entity Name | Great Plains Tribal Chairmens Health Board |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376105452 PECOS PAC ID: 0648609917 Enrollment ID: O20200408001014 |
| Mailing Address | Practice Location Address |
|---|---|
| Sara K Reausaw-wilson, DMD 4215 Berniece St, Rapid City, SD 57703-6410 Ph: (605) 343-6691 | Sara K Reausaw-wilson, DMD 4215 Berniece St, Rapid City, SD 57703-6410 Ph: (605) 343-6691 |
Kelly Lytle, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3312 Jackson Blvd, Rapid City, SD 57702 Phone: 605-342-0989 | |
Dr. Sierra Rae Schafer, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1147 Eglin St, Rapid City, SD 57701 Phone: 605-865-2123 | |
Mason Alexander Hericks, Dentist Medicare: Not Enrolled in Medicare Practice Location: 2606 Elderberry Blvd Ste 1, Rapid City, SD 57703 Phone: 605-737-3150 | |
Dr. Jack H Weaver, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3712 Canyon Lake Dr, Rapid City, SD 57702 Phone: 605-342-3939 Fax: 605-341-2766 | |
Dr. Harold A Doerr, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2800 Jackson Blvd, Suite #6, Rapid City, SD 57702 Phone: 605-348-2556 Fax: 605-348-1526 | |
Dr. Bart Aaron Samuelson, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 200 Federal Ave, Rapid City, SD 57702 Phone: 605-348-4657 Fax: 605-348-4382 | |
Jeffrey Herbert Wiswall, D.D.S., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2525 W Main St Ste 307, Rapid City, SD 57702 Phone: 605-716-3546 |