| Tracy John Pierret, MD | |
|
901 4th St Nw, Watertown, SD 57201-1558 | |
| (605) 886-8471 | |
| (605) 886-9317 |
| Full Name | Tracy John Pierret |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 901 4th St Nw, Watertown, 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 |
|---|---|---|---|
| 1700831534 | NPI | - | NPPES |
| 6701952 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 5890 (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 | Sanford Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093090342 PECOS PAC ID: 8325950215 Enrollment ID: O20040115000388 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy John Pierret, MD Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () - | Tracy John Pierret, MD 901 4th St Nw, Watertown, SD 57201-1558 Ph: (605) 886-8471 |
Allen L Hoekman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 901 4th St Nw, Watertown, SD 57201 Phone: 605-886-8471 Fax: 605-886-9317 | |
Craig E. Crismon, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 511 14th Ave Ne, Watertown, SD 57201 Phone: 605-886-8482 Fax: 605-884-4300 |