| Raymond Takashi Kuwahara, MD | |
|
575 N Sioux Point Road, Dakota Dunes, SD 57049-5312 | |
| (605) 217-2667 | |
| (605) 217-2900 |
| Full Name | Raymond Takashi Kuwahara |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 29 Years |
| Location | 575 N Sioux Point Road, Dakota Dunes, 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 |
|---|---|---|---|
| 1376512244 | NPI | - | NPPES |
| 9290815 | Other | IN | PHCS PID NUMBER |
| 10873474 | Other | IN | CAQH NUMBER |
| 000000360446 | Other | IN | ANTHEM PROVIDER NUMBER |
| 200509770 | Medicaid | IN |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Lukes Regional Medical Center | Sioux city, IA | Hospital |
| Orange City Area Health System | Orange city, IA | Hospital |
| Cherokee Regional Medical Center | Cherokee, IA | Hospital |
| Floyd Valley Healthcare | Le mars, IA | Hospital |
| Sanford Sheldon Medical Center | Sheldon, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cnos Pc | 4284548942 | 99 |
| Cnos Pc | 4284548942 | 99 |
| Cnos Pc | 4284548942 | 99 |
| Entity Name | Cnos Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881604320 PECOS PAC ID: 4284548942 Enrollment ID: O20040930001019 |
| Mailing Address | Practice Location Address |
|---|---|
| Raymond Takashi Kuwahara, MD 575 N Sioux Point Road, Dakota Dunes, SD 57049-5312 Ph: (605) 217-2667 | Raymond Takashi Kuwahara, MD 575 N Sioux Point Road, Dakota Dunes, SD 57049-5312 Ph: (605) 217-2667 |
Michelle Lee Daffer, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 575 N Sioux Point Road, Dakota Dunes, SD 57049 Phone: 605-217-2667 Fax: 605-217-2900 | |
Mrs. Katie Evelyn Shull, ARNP Dermatology Medicare: Accepting Medicare Assignments Practice Location: 330 Dakota Dunes Blvd Ste 400, Dakota Dunes, SD 57049 Phone: 605-422-3000 |