| Gregory Wittenberg, | |
|
2820 Mount Rushmore Rd, Rapid City, SD 57701-5462 | |
| (605) 342-3280 | |
| Not Available |
| Full Name | Gregory Wittenberg |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 31 Years |
| Location | 2820 Mount Rushmore Rd, Rapid City, South Dakota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760418420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 4524 (South Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Monument Health Rapid City Hospital | Rapid city, SD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rapid City Medical Center Llp | 5890691075 | 82 |
| Entity Name | Rapid City Medical Center Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487602843 PECOS PAC ID: 5890691075 Enrollment ID: O20031209000567 |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory Wittenberg, 2820 Mount Rushmore Rd, Rapid City, SD 57701-5462 Ph: () - | Gregory Wittenberg, 2820 Mount Rushmore Rd, Rapid City, SD 57701-5462 Ph: (605) 342-3280 |
Tamara Poling, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2820 Mount Rushmore Rd, Rapid City, SD 57701 Phone: 605-342-3280 | |
Dr. Heather Rae Peck, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2805 5th St Ste 210, Rapid City, SD 57701 Phone: 605-343-2267 | |
Dr. Linda Jo Fromm, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4447 S Canyon Rd Ste 6, Rapid City, SD 57702 Phone: 605-721-5550 Fax: 605-721-5515 | |
Dr. Marc E Boddicker, MD Dermatology Medicare: Medicare Enrolled Practice Location: 710 Saint Anne St, Rapid City, SD 57701 Phone: 605-343-8000 Fax: 605-341-8575 | |
Cynthia A Anderson, Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2820 Mount Rushmore Rd, Rapid City, SD 57701 Phone: 605-721-8354 Fax: 605-721-8458 | |
Briana Hill, Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2820 Mount Rushmore Rd, Rapid City, SD 57701 Phone: 605-342-3280 | |
Victoria Finley, Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2820 Mount Rushmore Rd, Rapid City, SD 57701 Phone: 605-342-3280 |