| Katherine Wang, MD | |
|
1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | |
| (605) 322-4425 | |
| (605) 322-4499 |
| Full Name | Katherine Wang |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Neonatal-perinatal Medicine |
| Location | 1325 S Cliff Ave, Sioux Falls, 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 |
|---|---|---|---|
| 1043427990 | NPI | - | NPPES |
| 6702750 | Medicaid | SD | |
| 2825358 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 57.010623 (Ohio) | Secondary |
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 8515 (South Dakota) | Primary |
| Entity Name | Avera Mckennan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699009944 PECOS PAC ID: 0345157103 Enrollment ID: O20031110000117 |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Wang, MD Po Box 86370, Sioux Falls, SD 57118-6370 Ph: (605) 322-7510 | Katherine Wang, MD 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 Ph: (605) 322-4425 |
Dr. Shari L Eich, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2100 S Marion Rd, Sioux Falls, SD 57106 Phone: 605-322-1010 Fax: 605-322-1011 | |
Michael Elliott, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 S 7th Ave, Ste 2, Sioux Falls, SD 57105 Phone: 605-336-2140 | |
Brock J Doubledee, D.O. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1600 W 22nd, Sioux Falls, SD 57105 Phone: 605-312-1000 Fax: 605-312-1001 | |
Kayelyn J. Wagner, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 W 22nd St, Sioux Falls, SD 57105 Phone: 605-312-1000 Fax: 605-312-1001 | |
Gulsah Olgun, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1205 S Grange Ave Ste 307, Sioux Falls, SD 57105 Phone: 605-328-7800 Fax: 605-328-7899 | |
Mrs. Katie Elizabeth Larson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1205 S Grange Ave, Suite 307, Sioux Falls, SD 57105 Phone: 605-328-7800 Fax: 605-328-7899 |