| Elizabeth J Gravley, MD | |
|
101 Peabody Dr, Webster, SD 57274-1061 | |
| (605) 345-4141 | |
| (605) 345-4135 |
| Full Name | Elizabeth J Gravley |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 31 Years |
| Location | 101 Peabody Dr, Webster, 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 |
|---|---|---|---|
| 1659375137 | NPI | - | NPPES |
| 5610223 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4465 (South Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Prairie Lakes Hospice | Watertown, SD | Hospice |
| Avera At Home | Aberdeen, SD | Hospice |
| Sanford Hospital Webster - Cah | Webster, SD | Hospital |
| Sanford Medical Center Aberdeen | Aberdeen, SD | Hospital |
| Sanford Usd Medical Center | Sioux falls, SD | Hospital |
| Sun Dial Manor | Bristol, SD | Nursing home |
| Strand-kjorsvig Community Rest Home | Roslyn, SD | Nursing home |
| Bethesda Home | Webster, SD | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sanford Health Network | 6800707100 | 307 |
| Entity Name | Sanford Health Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013921733 PECOS PAC ID: 6800707100 Enrollment ID: O20031111000266 |
| Entity Name | Sanford Health Network |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1831103449 PECOS PAC ID: 6800707100 Enrollment ID: O20070801000802 |
| Entity Name | Bethesda Home |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356348809 PECOS PAC ID: 2769539907 Enrollment ID: O20090406000151 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth J Gravley, MD Po Box 5074, Sioux Falls, SD 57117-5074 Ph: (605) 328-9556 | Elizabeth J Gravley, MD 101 Peabody Dr, Webster, SD 57274-1061 Ph: (605) 345-4141 |
Dr. Ruth A Hernandez, RN, DNP, AANP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Peabody Dr, Webster, SD 57274 Phone: 605-345-3336 | |
Dr. Lawrence Nelson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 13806 436th Ave, Webster, SD 57274 Phone: 605-345-3734 |