| Amy Hodge, CNP | |
|
636 Saint Anne St, Rapid City, SD 57701-4694 | |
| (605) 348-8000 | |
| (605) 348-4315 |
| Full Name | Amy Hodge |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 636 Saint Anne 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 |
|---|---|---|---|
| 1699545871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | R052165 (South Dakota) | Secondary |
| 363L00000X | Nurse Practitioner | CP003091 (South Dakota) | Primary |
| Entity Name | Manlove Psychiatric Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194756833 PECOS PAC ID: 8921098138 Enrollment ID: O20040518000393 |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Hodge, CNP 631 Saint Anne St, Suite 103, Rapid City, SD 57701 Ph: (605) 348-8000 | Amy Hodge, CNP 636 Saint Anne St, Rapid City, SD 57701-4694 Ph: (605) 348-8000 |
Maria Sargent, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 353 Fairmont Blvd, Rapid City, SD 57701 Phone: 605-755-1000 | |
Kayla Sayer, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 640 Flormann St, Rapid City, SD 57701 Phone: 605-755-3300 | |
Jennifer Ann Erdman, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 636 Saint Anne St, Rapid City, SD 57701 Phone: 605-348-8000 Fax: 605-348-4315 | |
Jessica Buckley, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 350 Pine St, Rapid City, SD 57701 Phone: 605-721-8939 | |
Morgan Folchert, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1760 Centre St Ste 2, Rapid City, SD 57703 Phone: 308-249-2912 | |
Alana Marie Mastin, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 677 Cathedral Dr, Rapid City, SD 57701 Phone: 605-755-4150 | |
Paulette A Kirby, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 811 Columbus St, Rapid City, SD 57701 Phone: 605-343-3007 |