| Mr Thomas John Huber, MD | |
|
521 E Sioux Ave, Pierre, SD 57501-3142 | |
| (605) 945-5560 | |
| (605) 224-0369 |
| Full Name | Mr Thomas John Huber |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 521 E Sioux Ave, Pierre, 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 |
|---|---|---|---|
| 1982645594 | NPI | - | NPPES |
| 4995175 | Other | SD | BCBS |
| 201750841 | Other | SD | TAX ID |
| 27032 | Other | SD | SVHP |
| 5601844 | Medicaid | SD | |
| 2294 | Other | SD | DAKOTACARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2294 (South Dakota) | Primary |
| Entity Name | Sanford Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396764254 PECOS PAC ID: 0244143824 Enrollment ID: O20031110000532 |
| Entity Name | Center For Family Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164493672 PECOS PAC ID: 2769478429 Enrollment ID: O20040420001759 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Thomas John Huber, MD Po Box 5074, Sioux Falls, SD 57117-5074 Ph: (605) 328-4538 | Mr Thomas John Huber, MD 521 E Sioux Ave, Pierre, SD 57501-3142 Ph: (605) 945-5560 |
Caitlin Jensen, Family Medicine Medicare: Medicare Enrolled Practice Location: 3100 E Sd Highway 34, Pierre, SD 57501 Phone: 605-773-7475 | |
Mr. Noel Dennis Chicoine, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 521 E Sioux Ave, Pierre, SD 57501 Phone: 605-945-5560 Fax: 605-224-0369 | |
Victor Craig Strasburg, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Mac Ln, Pierre, SD 57501 Phone: 605-224-5901 | |
Jalen Lamb, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 E Sioux Ave, Pierre, SD 57501 Phone: 605-945-5267 Fax: 605-945-5295 | |
Dr. Teresa Jo Bormann, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 521 E Sioux Ave, Pierre, SD 57501 Phone: 605-945-5560 Fax: 605-224-0369 | |
Nielsen H. Burns, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 E Sioux Ave, Pierre, SD 57501 Phone: 605-224-3177 | |
Dr. Jenna Wickersham, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 521 E Sioux Ave, Pierre, SD 57501 Phone: 605-945-5560 |