| Pamela Kim Phillips, MD | |
|
2805 5th St, 100, Rapid City, SD 57701-7306 | |
| (605) 755-5700 | |
| (605) 755-3691 |
| Full Name | Pamela Kim Phillips |
|---|---|
| Gender | Female |
| Speciality | Dermatology - Mohs-micrographic Surgery |
| Location | 2805 5th St, 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 |
|---|---|---|---|
| 1962481044 | NPI | - | NPPES |
| 473987600 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | S4216 (Texas) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | S4216 (Texas) | 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 |
|---|---|
| Pamela Kim Phillips, MD 4513 Williams Dr, Georgetown, TX 78633-1302 Ph: (512) 930-3909 | Pamela Kim Phillips, MD 2805 5th St, 100, Rapid City, SD 57701-7306 Ph: (605) 755-5700 |
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 |