| Mr Charles J Lord, MD | |
|
419 Quincy Street, Rapid City, SD 57701 | |
| (605) 348-6365 | |
| (605) 348-9408 |
| Full Name | Mr Charles J Lord |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 47 Years |
| Location | 419 Quincy Street, 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 |
|---|---|---|---|
| 1932273190 | NPI | - | NPPES |
| 7100080 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 2247 (South Dakota) | Primary |
| Entity Name | Dakota Psychiatry Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679598320 PECOS PAC ID: 5193889954 Enrollment ID: O20090123000230 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Charles J Lord, MD 419 Quincy Street, Rapid City, SD 57701 Ph: (605) 348-6365 | Mr Charles J Lord, MD 419 Quincy Street, Rapid City, SD 57701 Ph: (605) 348-6365 |
Steven K Hata, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2929 5th Street, 240, Rapid City, SD 57701 Phone: 605-341-3770 Fax: 605-341-8692 | |
Dr. Douglas Thorburn Brown, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2929 5th Street, 240, Rapid City, SD 57701 Phone: 605-341-3770 Fax: 605-341-8692 | |
Kirsten A Butz, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 915 Mt View Rd, Rapid City, SD 57702 Phone: 605-755-7300 Fax: 605-755-0707 | |
Dr. Terry R Hicks, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 350 Elk St, Rapid City, SD 57701 Phone: 605-343-7262 Fax: 605-343-7293 | |
Dr. Ryan Gianatasio, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 677 Cathedral Dr, Rapid City, SD 57701 Phone: 605-755-4150 | |
Dr. Mark Thomas Garry, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 10 Van Buren St, Rapid City, SD 57701 Phone: 605-721-8939 | |
Heather G Cwach, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2929 5th Street, 240, Rapid City, SD 57701 Phone: 605-341-3770 Fax: 605-341-8692 |