| Gary Christiansen, MD | |
|
2820 Mount Rushmore Rd, Rapid City, SD 57701-5462 | |
| (605) 342-3280 | |
| (605) 348-0662 |
| Full Name | Gary Christiansen |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 2820 Mount Rushmore Rd, 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 |
|---|---|---|---|
| 1750491270 | NPI | - | NPPES |
| 310365 | Other | WY | BLUE CROSS BLUE SHIELD |
| 7500340 | Medicaid | SD | |
| 111516200 | Medicaid | WY | |
| 21395 | Other | SD | SANFORD HEALTH |
| 4012 | Other | SD | DAKOTACARE |
| 0004134 | Other | SD | BLUE CROSS BLUE SHIELD |
| S4134 | Other | SD | SD MEDICARE |
| 21395 | Other | SD | SIOUX VALLEY HEALTH PLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 4012 (South Dakota) | Primary |
| Entity Name | Monument Health Rapid City Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275553463 PECOS PAC ID: 6002729506 Enrollment ID: O20070625000144 |
| Mailing Address | Practice Location Address |
|---|---|
| Gary Christiansen, MD 2820 Mount Rushmore Rd, Rapid City, SD 57701-5462 Ph: (605) 342-3280 | Gary Christiansen, MD 2820 Mount Rushmore Rd, Rapid City, SD 57701-5462 Ph: (605) 342-3280 |
Keith G Bryson, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 2805 5th St, Suite 100, Rapid City, SD 57701 Phone: 605-719-5700 Fax: 605-719-5701 | |
Gerald W Butz, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 710 Saint Anne St, Rapid City, SD 57701 Phone: 605-348-4100 Fax: 605-348-0662 | |
Dr. Michael James Brekhus, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 2820 Mount Rushmore Rd, Rapid City, SD 57701 Phone: 605-342-3280 | |
Dr. William Chambers Waller Jr., M.D. Urology Medicare: Medicare Enrolled Practice Location: 2805 5th St, 220, Rapid City, SD 57701 Phone: 605-348-1084 Fax: 605-348-3256 |