| Meditelecare Of South Dakota, Llc | |
|
503 S Pierre St Pierre SD 57501-4522 | |
| (860) 788-6404 | |
| (860) 829-0495 |
| Full Name | Meditelecare Of South Dakota, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 503 S Pierre St, Pierre, South Dakota |
| Authorized Official Name and Position | Teresa Trojanowski (DIRECTOR OF REVENUE CYCLE) |
| Authorized Official Contact | 8607886404 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meditelecare Of South Dakota, Llc Po Box 1595 Middletown CT 06457-8095 Ph: (860) 788-6404 | Meditelecare Of South Dakota, Llc 503 S Pierre St Pierre SD 57501-4522 Ph: (860) 788-6404 |
| NPI Number | 1467077511 |
|---|---|
| Provider Enumeration Date | 06/15/2020 |
| Last Update Date | 06/15/2020 |
| Certification Date | 06/15/2020 |
| Medicare PECOS PAC ID | 3173948882 |
|---|---|
| Medicare Enrollment ID | O20200728003792 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467077511 | NPI | - | NPPES |
| Provider Name | Carey Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962944926 PECOS PAC ID: 3678841202 Enrollment ID: I20200728002483 |
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